Det snabbaste och effektivaste sättet att få till en förändring i avnavlingspraxis är förmodligen att föräldrar kräver sen avnavling (tills det slutat pulsera), och att vanliga hederliga barnmorskor, uskor och läkare utövar påtryckning på sina överordnade , och om inte det hjälper vägra klampa pulserande navelsträngar vad deras inskränkta chefer än säger.
De har ju både evidensen och rätten på sin sida!
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Läs vad barnläkaren Mark Sloan säger om Cochrane rapporten.
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Science & Sensibility, July 25th, 2013
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New Cochrane Review: Delayed Cord Clamping Likely Beneficial for Healthy Term Newborns
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New Cochrane Review: Delayed Cord Clamping Likely Beneficial for Healthy Term Newborns "Will obstetric practice change? Not immediately, if the recent Huffington Post comments of Dr. Jeffrey Ecker, ACOG chair of obstetric practice, are any indication:
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“Over time, I believe we’ll see an evolution in practice with appropriate women and babies — babies that don’t otherwise need immediate attention,” Ecker said. “I don’t think it is all going to change in a year. But in five, 10 years, we’ll look back and say, ‘Boy, this is different.’”
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The best way to speed up that process is for pregnant women and providers of maternity care services to press their local hospitals for change now. "
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Missa framför allt inte det här om gulsotsrisken:
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"The apparent association between DCC and an increased need for phototherapy is a bit controversial. As pointed out by Dr. Judith Mercer, an expert on the benefits of delayed clamping, this concern is based largely on a single unpublished 1996 study performed by one of the Cochrane review’s authors (McDonald). McDonald’s study is one of only two of the nearly forty studies considered for inclusion in the current review that includes unpublished data; when that data is removed, the difference between groups loses significance.
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Of note, the two studies added since the 2009 review found no association between delayed clamping and hyperbilirubinemia requiring phototherapy (Al-Tawil 2012, Andersson 2011). It should also be pointed out that none of the babies in these studies was harmed by hyperbilirubinemia. All recovered completely; there were no cases of kernicterus—brain damage caused by severe neonatal jaundice.
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Whatever the case regarding delayed clamping and phototherapy, there’s no doubt that iron deficiency in infancy can lead to permanent cognitive and social-emotional deficits. The global benefits of increased iron stores during a critical period of brain development would seem to outweigh that concern."
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