is och eld:
Vem har sagt att det ska kompromissas?! Tycker du det som David J Hutchon berättade om hur de gör på Darlington Memorial Hospital verkade vara ett kompromissande och äventyrande med barnens liv? (inlägg 360) Kan du ange detaljer i så fall?
Här kommer ett par texter till, där han bl.a. berättar lite om hur de gör vid snitt:
“The Dragger resuscitaire can be brought right up to the side of the Caesarean section table, with a sterile drape over the resuscitaire to stop contaminating the operating table. The pediatrician also needs to be scrubbed gown and gloves and can initiate the resuscitation. The left lateral tilt on the operating table is removed and the table raised so there is about 20cm difference in height above the baby. We do this in the right side of the mother so the obstetrician needs to go round to the other side of the table if the assistant is not able to cope with any bleeding etc in the first few minutes before the cord is clamped,cut and the baby and resuscitaire moved away. We have been prepared to put the placenta intact over with the baby but so far the placenta has not delivered in time. "
”At the Darlington Memorial Hospital we have had a written policy to delay cord clamping for over a year. This was, as far as we know the first formal guideline in the UK. We have developed a practice to allow resuscitation of the newborn infant at caesarean section while the cord is still intact which means the cord circulation can continue until it ceases at about three minutes. The details were presented at the RANZCOG meeting in Nelson, New Zealand in 2005 and at the British Congress in Obstetrics and Gynecology in London July this year. It is important that the newborn baby does not get cold and the pediatrician has the full facilities normally available for effective resuscitation if necessary. It requires preparation but virtually no additional cost. A recent survey suggested very few units have a policy of delayed clamping. Every unit in the country should have the facilities to put this in place and adopt a policy of delayed cord clamping for every delivery."