Jaundice from delayed cord clamping?

Hi ladies,

I spoke to my ob about delayed cord clamping when I was there this week. He said that if I want to then that is not a problem.
Anyway, he mentioned that there is also some research that suggests that the extra blood from the delayed clamping increases the incidence of jaundice. I had come across this briefly in something I had read before I asked him. He just suggested that I look into that too before making my decision.
So... I was wondering how many of you ladies that have delayed cord clamping have had jaundiced babies? Is it just a bit of a beat up?

TIA

I read an article about this too, but It was more saying that it was a bit of a myth? wish I could remember where/what it was from!

My DS didnt have delayed cord clamping (ECS) my nephew also didnt and both had pretty bad jaundice (borderline as to lights being used or not, ended up not)

Both DS and DD1 were jaundiced - no delayed clamping obviously due to c-section.

DD2 - delayed cord clamping - no jaundice

On FB there is a group called " leaving a babys cord to stop pulsating(delayed cord clamping) which is where I am sure I read the article I was referring to.

this a quote from the author of the page "Jaundice is often used as an argument against DCC, even though there has never been any randomized study evaluating the risks of severe jaundice in relation to the time of cord clamping.
What if jaundice is caused by poor breastfeeding? And is it really a health problem? Read this interesting article by Slovakian lactation consultant ´Viera Červená, and see what you think. "
https://sites.google.com/site/proble...cle-in-english that is the article they are referring to.

Im not sure but have a look through the links, there may well be some more info in there on this group.
Leaving A Baby's Umbilical Cord To Stop Pulsating (Delayed Cord Clamping) | Facebook

DD1 was clamped immediately = she got jaundice

DD2 had delayed cord clamping = no jaundice.

so from my vast :rofl: research i would say....total beat up :)

delay the clamping babe! it is so amazing how their little bodies just take all that stuff in!

:rofl: So far, if anything, all anecdotal evidence suggests the opposite!

Very interesting, I hadn't heard that theory before, interested to read more peoples responses.

DD2 had delayed cord clampimg and queit bad jaundice, also boarderline lights..., but the midwifes asssured me it had nothing to do with cordclamping

The girls are mostly right. The research suggests it does increase the incidence of jaundice, but not the risk, in that babies with delayed cord clamping my experience slightly more jaundice but it has no adverse effects. And because there are many other factors that affect the development of jaundice, including feeding, it's a very poor argument against delayed clamping.

We've waited until the cord stopped on all three. All three have had slight jaundice, none of them have required hospital admissions.

Dd had mild jaundice, and we delayed clamping, but my mw said it was from her being only 38 weeks...she fed like a champ though and it was all flushed out in no time.

We did DCC with DS and he had very mild jaundice. So mild, in fact, that my midwife said she had never seen a baby get over it so quickly!

We did DCC for DS, with no Jaundice.

Both of my DDs had jaundice and one had DDC, the other immediate clamping.

I was very strongly for DCC after all the reading I did in preparation for birth.

Our choice to have delayed cord clamping and believe me, it is unheard of in the country town :lol: and DD had the slightest jaundice but she also wasnt feeding well either, so perhaps that contributed too :dunno:

three kids, all delayed cord clamping, no jaundice

Thanks girls and guys, doesn't sound like too many of you have experienced any issues. It didn't seem like my ob was trying to put me off, he just said that he had come across that in his reading and I should make sure I had read both sides. If I do want it then just remind whoever is assisting when we get close to the end. Pretty sure I am delaying clamping. :)

Thanks Starrysky! I had a read through some of your links and it makes sense to me. Some very passionate ladies on that facebook page!!

Did you know it can stop pulsing in just a couple of minutes?

I've never quite understood DCC myself. Just as arteries are going through the cord into the baby, veins are traveling in the opposite direction. The baby has been getting mums nutrients for 40 odd weeks so why does the last 3 minutes make a difference? I am sure there is some scientific explanation I just could never find it.

We didn't have delayed clamping bc the cord was three times around Dd2's neck and Dd1 was a bit of a drama with forceps and things were pretty hectic.

I too spoke to OB about it and he was fine with it. He also said it's common practice at the hospital I go too so it wasn't a big deal at all if that's what I wanted.

We'll see how it goes this time but tbh i'd rather cut it immediately and donate it if possible. Although that wasn't possible last time maybe it will be this time. :)

I delayed clamping with DD2 and no jaundice If I have a 3rd child Im even thinking of doing a lotus birth so no cord cutting at all

Wow Aligator... you are way more keen than me! I have read about lotus birth, and I think placentas are really cool to look at, but I just couldn't deal with having it attached to the baby for a couple of weeks. Good luck with it.

JM, I have no intention of donating the blood, so DCC seems sensible. I don't know if it will make any difference, but I figure if it only takes a few minutes then why not. I did ask in another thread if those who had experienced both immediate and delayed clamping/ synto injection vs physiological 3rd stage really felt that it changed their experience, but noone answered. :(

We did DCC with DD though not intentionally coz we wanted the cord blood to be collected and was waiting for the OB to get here. He never got here in time so the cord was clamped when it stopped pulsing. No jaundice either.

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DCC with both boys. DJ was an oopmalooma - needed lights (also had feeding issues) Vic DCC - slight jaundice but fed like a champ.
i have read having a -ive blood type means you're bubba is more likely to have jaundice both my boys are A- like me :dunno:

thats interesting Dansta! Im o- and DS is o+ (like his daddy) is it the mothers blood type that determines it?

Jaundice in babies is caused more by the rapid breakdown of fetal red blood cells as bub starts producing adult heamoglobin. The level of jaundice is affected by the maturity of bub's liver (jaundice requiring lights is much more common the more premature the baby is), how hydrated bub is, initial heamoglobin level as well as other factors. Differing blood groups between Mum and bub can cause jaundice but usually this type of jaundice occurs very early.

I had delayed cord clamping with ds and he was slightly jaundice but nothing crazy and we were able to go home the day after he was born and the jaundice was gone within a few days

All three of mine had jaundice, two had delayed cord clamping one didn't. Two were prems and and one wasn't so I don't think it's related for our kids.

DS1&2 had immediate clamp and cut, DS1 jaundiced but no lights. DS3 DCC slight jaundice, but no lights and no dramas.

I looked into donating and that's actually what made me decide to DCC. If it's so good that it gets donated for later use, then perhaps all that good stuff should actually go into bub and be beneficial there? Just my thought.

Both my children had their cords cut and clamped not long after birth....def not intentially delayed tho.
No jaundice for either...I have been told the same as Little Chicken that Jaundice in babies is caused more by the rapid breakdown of fetal red blood cells as bub starts producing adult heamoglobin!
I also have a negative blood type and both children are positive!
With DD1 she was born then they asked me about giving the needle for placenta delivery and as I said yes my placenta just literaly fell out! They had never seen it happen so quickly! So MY honest opinion is don't really think it needs to be done BUT............................................... ...................
I think it is one of those things that is definately a personal choice you feel strongly about doing.

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thats interesting Dansta! Im o- and DS is o+ (like his daddy) is it the mothers blood type that determines it?

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:dunno: all i know is me, and both the boys are A- and BOTH of them needed lights (with DCC) the nurse in SCN said its more common in negative blood typed babies.

Leesha- the image i had in my head just then of pacenter falling out :rofl: is all i can say.

Dr Sarah J Buckley's article Leaving Well Alone: A Natural Approach to the Third Stage of Labour is a great read.

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I have been told the same as Little Chicken that Jaundice in babies is caused more by the rapid breakdown of fetal red blood cells as bub starts producing adult heamoglobin!

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This is the argument... DCC means more blood for the bub to break down shortly after birth so an increased chance of bilirubin building up. I haven't read anything that suggests any other reason for the increased incidence in jaundice than that.

I have decided to do DCC, thanks for your input ladies. :)

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With DD1 she was born then they asked me about giving the needle for placenta delivery and as I said yes my placenta just literaly fell out! They had never seen it happen so quickly

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HEHE same thing pretty much with me. I had delayed cord clamping, and it stopped really quickly. By the time i turned back around, she gave me the injection and then went "oh, there's the placenta"So the injection was useless.

I had DCC with my 3rd only. DS1 had his cord blood donated, so his was clamped very quickly. He had the worst jaundice of my 3, but it was still mild. I did have a few BF problems with him though being my first. DS3 had it mildly, but was feeding well so it cleared quite quickly. His Pead commented on it when i was in the hospital, said that it would have been because of the delayed cord clamping, but i quickly made mention that it was better than DS1 who had immediate cord clamping so that IMO that was a load of rubbish. Shut her up pretty quickly!

i did dcc with #3 and he did have "breastmilk" jaundice but nothing serious. Personally I like the idea of all those stem cells and beautiful cord blood going back into my baby :)

Also going for physiological 3rd stage for the 1st time :)

The Jaundice occurs with delayed clamping due to the type of red blood cells that are transferred to the baby.
DH did a lot of looking into this before we had DD2.
Basically from what I recall, the liver of the baby cannot use a particular type of cells that adults do, that is passed to it through the blood. So the liver has to break it down, and through this process, it actually poisons the baby, thus creating the jaundice if the volume is too great for the liver to handle.
The increased amount of blood, and therefore this type of iron, the baby gets from the DCC causes the liver to be further inundated, and therefore a higher risk of jaundice.

There are several different types of jaundice, so have a look into it... I will have a look for some links I saved and come back in a minute to post some links for you :)


FWIW, we did get delayed clamping, not until it had stopped, but about 3 mins, and DD2 was slightly jaundiced.

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Did you know it can stop pulsing in just a couple of minutes?

I've never quite understood DCC myself. Just as arteries are going through the cord into the baby, veins are traveling in the opposite direction. The baby has been getting mums nutrients for 40 odd weeks so why does the last 3 minutes make a difference? I am sure there is some scientific explanation I just could never find it.

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T Cells. NK Cells. Etc Etc. Stem Cells. All powerful cells that were meant for your baby and the idea is to give them every one they were meant to get, iykwim.

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thats interesting Dansta! Im o- and DS is o+ (like his daddy) is it the mothers blood type that determines it?

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+ive > -ive

Hence Anti-D. Rh incompatibility (Neg mum, pos bub) can cause Jaundice. Not normally on a first baby, but you do have an angel that could have changed things. :hug:

http://www.facebook.com/posted.php?id=91036978467&start=40
Pediatrics -- eLetters for Limperopoulos et al., 121 (4) 758-765
http://www.bmj.com/content/333/7575/954/F1.large.jpg
Medscape: Medscape Access
Early clamping of umbilical cord: Severing all ties
A view on why immediate cord clamping must cease in routine obstetric delivery -- Hutchon 10 (2): 112 -- The Obstetrician & Gynaecologist
Cord Clamping | Homebirth: Midwife Mutiny in South Australia
Are Doctors Causing Infant Brain Damage By Clamping The Umbilical Cord Prematurely? « Medical Misdiagnosis Research
Birthsong Childbirth Education & Support Services - Cord
A guide to saving lives - Obstetrics and Gynecology - Medical Observer
Momotics Discusses Delayed Cord Clamping with The Academic OB/GYN 03/17 by Momotics | Blog Talk Radio
World Health Organization Supports Delayed Cord Clamping
Routine Early Clamping of the Umbilical Cord Harms Newborns
Replies to Why do obstetricians and midwives still rush to clamp the cord?
The ethics of Cord clamping and stem cell collection by Hilary Butler - Tuesday, July 22, 2008
Restricted Umbilical Cord Problems
George B. Elvove, M.D., P.C. | 2002 December Newsletter
Medscape: Medscape Access
When to Cut the Umbilical Cord: Advantages of Delayed Cord Clamping
Dr. Michel Odent - Notes on Birthing
Childbirth With Love - The Umbilical Cord Blood Controversy

*Apologies if any of these are against guidelines, I copied them all straight from the bookmarks folder lol*

I did DCC with my dd2...she was born at 35 weeks (2210g).
She required minimal intervention, she spent only a few days in the nursery, BF day 2 and never needed a NGT and came home on day 6 with me.
She never had any jaundice at all...which is something more prevalent in prems.
I believe that DCC helped her...all that rich cord blood gave her that little boost to help.

We didnt do DCC with #1 through 6 and ALL of them had very significant jaundice..........extremely yellow, some were orange and very very sleepy. With #7 we had DCC and he had the most mildest case of jaundice, none of ours have ever been that mild with it before and he wasnt sleepy at any point, has been alert from the start.

Another thing we noted with the DCC compared to the others that werent was he was a beautiful shade of pink straight away and very alert at birth, all the others had been blue and took awhile to pink up and nowhere near as alert.

Thanks for all the replies! I always find it interesting to read the experiences of the ladies on BB, they always seem to be different from so many of the stats you read online. :)

LimeSlice, those links are fantastic, thanks for going to so much trouble! :)

We delayed cord clamping with DD#2 and she had the same amount of jaundice as DD#1 who was born by c/s so had no delay in the cord clamping.
Neither required lights etc as it was just a slight tinge to their skin that was gone really quickly.

In saying this though, it does make sense that it may cause jaundice as they are getting more bloodcells, however I would delay again.


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