Jaundice from delayed cord clamping?

[caixin]

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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[Dansta]

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

[STARRYSKY]

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

[Little Chicken]

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.

[raffy]

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

[black_rose]

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.

[willow5]

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.

[leesha]

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.

[Dansta]

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

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 is all i can say.

[Ilithyia]

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

[berrme]

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!

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.

[My Three Sons]

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

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!

[water_lily80]

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

[LimeSlice]

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.

[Inertia]

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.

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.

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

+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.

[LimeSlice]

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*

[RainbowBrite]

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.

[kristi14]

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.