Delayed cord clamping, also referred to as optimal cord clamping, involves waiting 1 to 5 minutes after birth before clamping and cutting the umbilical cord. This additional time allows continued transfer of blood, oxygen, and vital nutrients from the placenta to the baby, helping them transition to life outside the womb.
This practice has become increasingly popular and is recommended in many birth settings, including the NHS, due to its proven benefits for newborn health.
Benefits of Delayed Cord Clamping
- Enhanced Blood Volume: Delayed clamping ensures the baby receives an optimal blood volume from the placenta, providing extra red blood cells and oxygen.
- Increased Iron Levels: Babies who experience delayed cord clamping have higher iron levels, which support brain development and growth, reducing the risk of anemia in infancy.
- Improved Circulation: The continued blood flow aids the baby’s cardiovascular system during their first moments outside the womb.
- Higher Stem Cell Count: Stem cells are critical for the development and repair of the body, and delayed clamping provides a higher count to help the baby’s immune system and recovery.
For preterm babies, the benefits are even greater. Delayed clamping reduces the risk of serious complications like bleeding in the brain and necrotising enterocolitis (a dangerous gut condition).
When Is Delayed Cord Clamping Not Recommended?
While delayed cord clamping is beneficial in most cases, there are situations where it may not be feasible:
- If the baby requires urgent resuscitation or breathing support immediately after birth.
- If there are complications with the placenta, such as placental abruption (when the placenta detaches prematurely).
- In cases of severe maternal bleeding, where medical attention for the mother is prioritized.
Your healthcare provider will make a decision based on what’s safest for you and your baby in these scenarios.
How Does Delayed Cord Clamping Work?
The process of delayed cord clamping is simple:
- The baby is delivered and placed on the mother’s chest or abdomen (or another clean surface if the mother is unable to hold them).
- The umbilical cord remains intact, allowing blood to continue flowing from the placenta to the baby.
- After 1 to 5 minutes—or when the cord stops pulsating—clamping and cutting take place.
In many cases, healthcare professionals can perform necessary newborn checks and support bonding time while the cord is still attached.
Including Delayed Cord Clamping in Your Birth Plan
If you want delayed cord clamping as part of your birth experience, consider the following:
- Discuss with Your Midwife: Talk to your midwife or obstetrician during antenatal appointments to confirm the practice is supported in your birthing facility.
- Include in Your Birth Plan: Clearly state your preference for delayed cord clamping in your birth plan. Example: “I prefer delayed cord clamping for up to 5 minutes or until the cord stops pulsating.”
- Understand Situational Flexibility: Be aware that certain medical emergencies may require immediate clamping to ensure the safety of you and your baby.
For more information, you can visit Tommy’s page on Delayed Cord Clamping or consult with your midwife for specific advice.
Why Is This Practice Becoming More Popular?
With growing research and endorsements from healthcare organisations, delayed cord clamping is now recognised as a simple and effective practice to improve newborn health outcomes. By including it in your birth plan and discussing it with your healthcare team, you can ensure your baby has the best start in life.
