Myles Textbook for Midwives, Umbilical Cord Clamping, Oxytocins and other issues long known
by midwives,
The Myles Textbook for Midwives , (edited by V. Ruth Bennett and Linda K. Brown, 11th Edition, 1989) . . . Research of Donna Young
This textbook, Mrs. Margaret Myles, compiled over four decades, developed highly valued contributions to the practice of midwifery and it is shared to give a comparison of what midwives knew on the timing of the clamping of the child's lifeline, but may not have been shared for informed choice of the mother of the child, or the natural father. Drugs and their dangerous side effects to the birthing mother and the child are shared, too.
The text has very good information in it. I give their debates on the issue
of early vs delayed umbilical cord clamping
below, see subtitles. There is other information on the use of oxytocins. (See current
Debates on Cord Clamping
this website).
It would appear Myles directives to the midwives gave the midwife the arbitrary
decision on care and treatment and not the
mother. Not much has changed since this book was written, on this attitude. Many midwives and
doctors are still making arbitrary
decisions, that best belongs to the legal guardian of the child, and herself, the mother who should
be informed to make these
kinds of decisions.
Much of this edition is based in empirical facts of science that do not change, over time. But, I found this edition, as more current medical books, shy of informed choice of treatment and care. It was absent like most medical books of the past, by men or women, to provide the directions for a signed birth plan in the best interest of the pregnant woman and her fetus.
This is, particularly, for an informed choice on the timing of the clamping
of the infant's lifeline. This clamping is done, in most
instances, as mere cosmetic procedure. The choice to clamp a pulsating cord is often done for
time convenience to cut down
the third stage of labor.
There is generally no evidence of need to stop a pulsating umbilical cord
that will transfer 20 to 50 percent total blood volume
into the infant if left alone. Most reasons to clamp early are based on "may be" fear
that their judgement is to do hasty clamping,
but no clear evidence is presented for a good cause to clamp a pulsating, blood transfusing cord.
Concern, in this book is raised regarding the use of drugs to cause titanic
contractions. This then has a concern that too much
blood transfused into the infant, will then require hasty clamping. The decision to clamp the
pulsating cord, with the emergence of
the child's head, or shoulders is often done without facts of need.
In this book, there were evidence for need of early cord clamping based on fears
of polycythaemia, (thick red blood),
Page 464.
Drugs causing polycythaemia may be that change the infant's blood production
to increase red cells if oxytocins are given the
mother during labor, and that information is kept from the mother as to the real reasons of known intentions
to clamp the pulsating
cord.
If there is evidence of too much blood, for whatever has caused that (likely
oxytocin drugs given the mother), it might well be
dealt with after proof of need of blood letting (phlebotomy opening the vein to collect blood. Note: George Washington died of
blood letting.
This is true of no conclusions given to the reader by many current midwifery textbooks whether written by women or men, leaving the matter arbitrary, the professionals decision. It means there was not intention to have any consent by the mother or information of intents to clamp the cord if drugs are used, causing an unexpressed fear to the laboring mother.
I have not found the best practice possible informed book as yet for education
of the pregnant women or those planning a
family. Such a book would be putting the mother in charge of informed choices and what is best
for her. And, if she is not in any
danger, then the best interest of the child for his/her best chance to be a blue-ribbon-baby is
next.
I see no benefit of depriving the child of his/her blood when that blood is
in the placenta, the organ of the baby. The proper
completion of the child's birth is no clamping of a pulsating cord. Most mothers, would naturally
do this for their child, if they were
not attended by another person, and birthed in a position they catch their own babies, such as in warm
water births, that allow for
that control.
Signed birth plans, well in advance of the child's due date are the wise
choice for the woman. Therefore the woman
must take the time to get educated on the actual birth process of her child. This is ideally before
she gets pregnant, she should
already know how to deal with an emergency birth.
Generally, the actual birth process is not studied by the pregnant woman,
who trusts too completely for another to take charge.
Herself and the child can be injured for her not knowing how to be in control; the risks of accepting
drugs from any medical
person, or any applications of gels to her person, or even scans.
Most scans are accepted by older women who fear a compromised child. There
are many incidents told of mothers who have
aborted a normal child. They were not aware that their embryo/fetus may have gone to research,
where the fetus parts are
separated to be cultivated in specific stem cell cultures, such as brain cells, liver, and so forth. Women may well be exploited by
technology (scans) if they are not aware of research desiring aborted babies, and stillborn organs,
and placenta blood deprived
the live born infant.
CAREER WOMEN: The reasons mothers are not educated in 2003, are
they are too busy to study because most are career
persons. Libraries are poorly equipped to educate the woman on this issue.
What information the mother-of-the-future, may have learned in school in Biology
textbooks had false information on the child's
umbilical cord. These
Biology
books, guided by medical associations or medical persons, have been directing immediate cord
clamping on functioning organ. Unlike the Myles Textbook for Midwives, they did not try to have a debate,
they just arbitrarily
stated immediate cord clamping was to be done, a firm directive. Many of the textbooks appear
to be supporting the drug
companies on drugging the women during birth.
Some Biology books had no information on the birth of the baby and the care
and treatment to the umbilical cord. They did not
educate on the fetus's circulation system and how the child makes a transition after birth, and that
early cord clamping will
interrupt oxygenated blood going into the infant. These books with no information on the
umbilical cord only contained
information on the reproduction system of men and the women.
Failure to educate the women properly indicates that most women are not totally
emancipated. She is still at the mercy and
control of others, deemed the professional. This professional is going to determine the quality
of life of the child, its treatment,
and the care to the woman as well, but would hope not to have to take financial liability or for the
raising of a damaged child by
drugs and hasty clamping.
LEGAL RIGHTS FOR A MOTHER TO HAVE A NO-HANDS-ON, UNASSISTED BIRTH, WITH ONLY A WITNESSING
OF THE BIRTH, SO SHE IS NOT ALONE:
Mothers have every legal right to have an unassisted no-hand's-on birth, if
they wish, and in their home, or in the hospital. In
the hospital they would be required to give a waiver and in a home birth that is attended by any medical
person(s). If the mother
perceives problems of her legal rights to something that is a natural process, birth, not a medical
sickness, she should take the
matter to a Constitutional Judge.
This is for the mother's legal rights to protect herself from unnecessary medical
interventions now imposed on many women.
Even c-sections or episiotomy cannot be forced on a women by the arbitrary decision of the medical person,
if the mother has
said "No" to such treatment.
The mother does not have to give consent or give-in to the hospital's policy,
doctor's policy, or nurse's policy, as to what they
consider their "appropriate care." The mother not knowing what those might be. Any
such forms to have a witnessed birth in in
any institution, simply mean a form was signed. It does not mean the woman gave her informed consent,
which should be each
treatment the medical person intends. Informed consent means the woman was given all options of
care and treatment, including
natural birth, no drugs and nothing done to the child's lifeline/hopeline, no clamping or cutting, at
all.
On page 213, the Myles Textbook for Midwives indicates some midwives will
clamp the pulsating cord between 1-3
minutes after the child's birth, and not for any medical reason.
The clamping is personal preference. Mostly it is said to be done in this
time period for convenience of moving around; or, for
the parent to hold her child. Or, to take resuscitative measures. The facts are any child removed
from his/her lifeline/hopeline for
revival is going to be at risk of long term-side effects if the child is not revived, where is,
and how is, in-between-the-legs of the
mother.
Hospitals, that are adequately equipped to handle local births, have portable
equipment that they have in the same birth room.
They do not take the child to the equipment. Women must check out out updated the hospital is. If it is not prepared with such
portable equipment, the woman may as well birth unassisted at home.
There is little assurance any better care in an emergency can be given the child
when time is lost take a child to equipment,
when revival of the same child will be done, in a homebirth, where the child is, revived on the cord,
in most instances, in home
births, unassisted.
The facts are, in any well prepared hospital or birth center, oxygen and blood
expanders can be taken to the child and should
be in the same birth room. The timing of the clamping of the lifeline/hopeline,
the umbilical cord, is something that the mother
must be informed about long before the birth of her child. Yet, this procedure is often taken for granted
as the medical person(s)
choice. Not so, if the matter should go to the Court. There the Courts make an arbitrary
decision on facts of need to clamp a
child's lifeline before it ceased to pulsate.
The Myles Textbook demonstrated knowledge of the advantage(s) of leaving
the cord alone, until it ceased to pulsate, but no
firm directives or conclusions were given. It may have been the reason it was so popular with
midwives and other professionals,
they were keeping control as to their own bias and judgement and their own intent of care. Here
are the positions presented pro
and con on early and delayed clamping:
Early Cord Clamping (Myles Textbook for Midwives) page 213
:
- may reduce the volume of blood returning to the fetus by as much as 75-125 ml, especially if clamping occurs within the first minute. Montgomery 1960. Note the date that immediate cord clamping was becoming the trend, 1960.
- (Comments, the blood is returning to the still attached placenta for a reason. To drop off carbon dioxide, and to pick up oxygenated blood. But, the arteries will close; then only vein remains open transfusing the remaining blood in the placenta to the child.
- When the lungs are perfused, the child will begin to cry, at his her own convenience the oxygen blood no longer now coming from the placenta as the vein is shut down by the child's own internal vessels, that do this when the child's needs are satisfied. The child will breathe and go from bluish color to pink, the cord will go white/silver, limp and will not be pulsating, the child's lips and tongue will not be blue.
- May prolong the time to placenta separation by setting up a counter resistance in the placenta and delaying retraction (Botha 1968). This may increase the risk of maternal blood loss.
- (Comments: Natural placenta expulsion, stated as far back in a 1942 Medical Book, Modern Home Medical Adviser, Edited by Morris Fishbein, MD., indicated placenta expulsion to be about 5-minutes after birth. Also a full placenta is likely to rupture. If it remains full, it will not know where the baby is and not give the hormone directives to the mothers body to start milk production. Other hormones will not work to cause contraction of the uterus to expel the afterbirth, the placenta.
- In normal completion of the birth, the baby is bonding with his/her mother and cuddled to her breasts as most cords are naturally long enough to reach her breasts, about 22 inches in length. Nursing should begin while the cord and placenta are still attached to the baby. The hormones release the oxytocin to now release the placenta, naturally. The blood was transfused into the owner/infant.
- may prematurely interrupt the respiratory function of the placenta in maintaining oxygen levels and combating acidosis in the early moments of life. This may be of particular importance in the baby who is slow to breathe.
- (Comments: The healthy babies are born in taxi cabs where there has been no interventions. These unassisted birth babies, like unassisted homebirths, thrive. ( reference for unassisted births and babies thriving . . .Dr. Mavis Gunther, 1957, UK).
- Increases the likelihood of fetomaternal transfusion as a larger volume of blood remains in the placenta. Venous pressure is further increased as retraction continues and may be sufficiently high to rupture surface placental vessels thus facilitating the transfer of fetal cells into the maternal system. This may be critical factor where the mother's blood group is Rhesus negative (Ladipo 1972).
- Comments: This is actually a harmful endangering by early cord clamping. Immediate and Early cord clamping are what trap 20 to 50 percent total blood volume, and leaving the placenta larger then the baby's head, is going to cause the risk of rupture and mixing of both blood types, causing problems to the mother. By allowing natural transfusion into the baby's lungs, is the healthy way to deal with the completion of the baby's birth.
- Results in the truncated umbilical vessels containing a quantity of clotted blood which provides an ideal medium for bacterial growth. (cord infections)
- Comments: If there is no clamping or cutting of the cord, there is no infections to get through a cut cord. When full transfusion of blood goes into the baby's lungs, the cord is white/silver, limp and not pulsating. There is no blood in the cord for infections. But, there is blood trapped in the cord as well as the placenta in the early clamped cord. The Lotus Birth allows for no germs to get in an unclamped and uncut cord a method used by the mothers who birthed in their homes prior to 1923.
Myles proponents for Late Clamping p 214 , suggesting that no action be taken until pulsation ceases or until the placenta has been completely delivered, thus allowing the PHYSIOLOGICAL process to take place without intervention, postulated these advantages, which can be observed in no clamping or cutting umbilical cords, made available to me on video, as to Dr. Sarah Buckley's Declaration are:
1. The route to the low-resistance placental circulation remains patent
which provides the newborn with a safety valve for any
raised systemic blood pressure. This may be critical when the baby is preterm or asphyxiated,
as raised pulmonary and central
venous pressures may exacerbate the difficulties in initiating respiration and accompanying circulatory
adaptation (Dunn 1985).
2. Shortening of the time to placental separation and reduced maternal
blood loss. When the cord was left unclamped, Botha
(1968) demonstrated that the mean duration of the third stage was reduced from 10.5 to 3.5 minutes and
blood loss was reduced
by half.
3. The reduction in the length of time for the cord to separate postnatally.
4. The transfusion of the full quota of placental blood to the newborn. This may constitute as much as 40% of the circulating
volume and therefore is important in maintaining haematocrit levels. Further factors which may influence
the amount of placental
transfusion include.
(a) the height at which the baby is positioned
in relation to the mother and the effect of gravity on the returning blood volume.
(b) the use of an oxytocic agent prior to the completion of labor. This may precipitate a strong uterine contraction and resultant over-transfusing of the baby.
It would seem, therefore, that the timing of the clamping of the cord may be of considerable significance
to both the mother and
baby. The most common current practice is to clamp and cut the cord some time before the delivery
of the placenta. This is
necessary if "controlled cord traction" is to be used to complete the third stage.
- Comment: The most common trend is not done with Democratic Rights of Informed choice to the mother. And I am of the opinion no medical policy can be imposed on the mother and her baby, and that when such decisions of treatment are imposed, it is assault and battery. That the children live and the mothers were not educated on their rights to prevent early cord clamping by the false statements put in the Biology books and now in most emergency books, has kept the public from adequacy of information to make informed choices. Further, when babies die, the Coroners are not investigating when the cord was clamped, and referring the matter for criminal charges of manslaughter. All mothers must be given equal protection and security of person and the child too. Only two visual reasons are known for emergency cord clamping on a still pulsating cord: 1. cord tore and (2) placenta previa. (Dr. George M. Morley 2002).
On page 464, Myles Textbook for Midwives states: "Some centres advocate
delay until respiration are established and cord
pulsation has ceased thus ensuring that the infant receives a placental transfusion of some 70 ml of
blood. (This is about 2.46
more ounces, but generally it is closer to 4 to 6 ounces of blood according to blood banks collecting
blood from babies clamped
at 30-seconds or less).
This view of delayed clamping, they continue, ". . . is countered by those
who maintain that their placenta transfusion so
acquired may predispose to neonatal jaundice (they reference to Ch. 32).
- Comment, why would blood letting be the cure for jaundice, you do not correct jaundice in an adult who can give informed consent.
They continue, ". . .Prior to clamping the cord, if the infant is held above the level of the uterus blood will gravitate to the placenta (more blood in the placenta then in the baby); and if the infant is held below the level of the uterus an increased placenta transfusion will result (more blood in the baby then in the placenta).
- (Comment, there are no valves in the arteries, inside the baby, it is not known if it is contrary in the umbilical cord. But if no valves, in the umbilical cord, it is likely the blood will flow back into the placenta by a higher level. (Comments: It is logical the baby will have a harder time to pump blood up into the placenta by the veins that have valves in them inside the baby, but not confirmed if valves are in the umbilical cord's veins. If the baby is drugged, pulsating is longer, according to the studies of Dr. Mavis Gunther, 1957, UK).
- Comment: I question if any mother gave informed consent for medical person(s) to be experimenting with her baby.
Consequences of the doctors and other medical person(s) handling the infant's lifeline/hopeline:
The Myles Textbook continues, p 464. . .The ensuing anaemia (high holding
of the baby, more blood in the placenta) in the
former instance and polycythaemia (too much blood, not confirmed by facts of undrugged baby's, many
research not stating
drugged or undrugged conditions present), with increased viscosity of the blood in the latter can compromise
the
cardiopulmonary status of the infant. (lung and heart conditions. . .
Dr. George M. Morley states holes in the heart for lack of proper blood volume
and perfusion are related to early clamping. Dr.
T. Peltonen indicated in 1981, lung distress disorders of infants early clamped, no child born by c-sections
had lung disorders
when their placenta and cord were removed intact with the baby and full blood transfusions were allowed.
It is most unnatural to deprive the baby's of their placenta blood as is common
practices, and evident for done secretly without
the mother or father informed of the internal debates going on but kept from the publics awareness,
or the parents able to
exercise their Supremacy of God duty to be the legal guardian of the child for such decisions when the
doctors cannot decide
between right and wrong, or seem very confused of logical undrugged babies, born to mothers with no
interventions, of the animal
kingdom and for human babies too.
OXYTOCIC AGENTS
.
On page 214, the Myles Textbook for Midwives indicates that midwives are informed
of the use of oxytocic agents, but their
licensing does not require them to warn the mother if they intend to use them, and the risk taking to
mother and child. The
oxytocic names are: Syntometrine; Intramuscular Ergometrine; Intravenous Ergometrine.
(UK drugs)
Note: Because Direct Entry Midwives are not trained in the use of oxytocic
agents, they generally do not use them. It would
seem financial prudent then for the drug companies to influence only Registered-Nurse-Midwives (RNM)
to be licensed to
continue to do deliveries, as they use their products.
PASSIVE PHYSIOLOGICAL MANAGEMENT
:
The Myles Textbook allows the midwife to be selective in her treatment and care to her client, but I have never seen an organized group stating this is the kind of midwife and their services offered.
"Physiological management allows changes to take their natural course with
minimal intervention and normally excludes the
administration of oxytocic drugs. The processes of placental separation and expulsion are quite
distinct from one another and
the midwife must recognize the signs of separation and descent before maternal effort is used to expedite
expulsion.
Signs of placenta separation and descent by natural process:
At the beginning of the third stage, a strong uterine contraction results in
the fundus being palpable below the umbilicus. It
feels broad as the placenta is still in the upper segment. As the placenta separates and falls
into the lower uterine segment:
-- there is a small fresh blood loss
-- the cord lengthens
-- the fundus becomes rounder and smaller; it rises in the abdomen and becomes more mobile as it is perched on top of the placenta.
If good uterine contractions are sustained, maternal effort will bring about
expulsion. The mother is simply asked to push as
during the second stage of labor. Encouragement is important as by now she may be exhausted and the
contractions will feel
weaker and less expulsive than those during the second stage of labor.
Providing that fresh blood loss is not excessive and the mother's condition
remains good and her pulse rate normal, there
need be no anxiety. This spontaneous process can take from 20 minutes to an hour to complete. It is important that the midwife
monitors uterine action by placing a hand lightly on the fundus.
She can thus palpate the contractions whilst checking the relaxation does not
result in the uterus filling with blood. Viligence is
crucial as it should be remembered that the longer the placenta remains undelivered, the greater risk
of bleeding as the uterus
cannot contract down fully whilst the bulky placenta is still in it. Great patience, calm and
confidence are required on the part of
the midwife to secure a successful conclusion. An oxytocic agent* need not be given unless uterine
tone is poor.
These physiological changes may be enhanced by encouraging the mother to suckle
the baby. This will result in the reflex
release of oxytocin from the posterior lobe of the pituitary gland, which helps to secure good utrine
action" page 217-218.
*Note, The Eskimo way, when the nurses go to get drugs, is for someone to put a finger in the mother's
throat, she coughs, and
out comes the placenta. No drugs, necessary.
OTHER DRUGS USED AND GIVEN TO PREGNANT WOMEN BEFORE OR AFTER BIRTH:
Myles textbook for Midwives, page 474, indicates the use of these drugs:
Naloxome hydrochloride. (Narcan Neonatal) IV through the umbilical
vein or intramuscularly to reverse the effects of
maternal narcotic drugs. On page 645, it states, . . ."this should be the only stimulant
drug used t counteract narcotic drugs and
initiate respiration. Although some of the older preparations are still legally available for
use by midwives, they are not pure
narcotic antagonists and may actually harm the newborn baby.
Some drugs can cause damage to the neonate when given in large or repeated doses. Steptomycin and gentamincin can
affect the auditory nerve and cause deafness, and tetracyclines can stain the teeth yellow and lead
to liver damages.
How drugs are administered: p 645: When giving medicines
to babies intramuscularly, the needle must be inserted on the
slant, and not a right angles, because the tissues are so shallow, and it is all too easy to penetrate
periosterum or bone. To avoid
injury to the sciatic nerve or hip joint, the upper, outer quadrant of the buttock should be used whenever
possible. The anterior
area of the thigh may be used but the needle must point downwards towards the knee to avoid damaging
vessels in the groin.
Intramuscular injections should NOT be given into the arm of a baby.
DRUG INTERACTION: (Some mothers get intoxicated before the birth of their babies,
and some are alcoholics and drug
users).
Myles p 645: When two potent drugs are administered together, the action
of one of may lead to an increase, reduction or
modification of the effect of the other drug, for example, monoamine-oxidase inhibitors such as phenelzine
(Nardil) can potentiate
the action of pethidine or morphine and may induce coma.
Alcohol will increase the sedative effects of most central depressant drugs
and in high doses may cause severe respiratory
depression. It can also damage fetal brain cells during pregnancy. (they make reference
to fetal alcohol syndrome, in their
chapter 38).
PERNATAL MORTALITY:
Myles p 653. A perinatal death is either a stillborn or a death occurring in the first week of life (early neonatal death) The perinatal death (or mortality) rate is the number of stillbirths and early neonatal deaths per 1000 total births.
Myles p 654. Neonatal Death is one occurring in the first 28 days of life. Neonatal deaths are divided into early neonatal
deaths which occur in the first 7 days of life and late neonatal deaths which occur during the next
21 days. The reason for this is
that the causes of early deaths are more similar to those of stillbirth while the causes of later deaths
are different. The rates of
neonatal deaths are calculated per 1000 live births.
CAUSES OF LATE NEONATAL DEATH:
Myles p 654. Some of the causes similar to the earlier deaths because babies whose deaths are attributable to birth trauma or perinatal events may survive beyond the first week. After this time there is a greater likelihood of death occurring due to infection, intraventricular haemorrhage, necrotizing enterocolitis and iatrogenic disorders (Medically caused).
TRENDS AND REASONS FOR IMPROVEMENTS INFANT DEATH:
Myles p 654. In 1900 the infant mortality rate was between 140 and 160 per 1000 whereas in 1985 the rate was 9.4 per 1000 in England and Wales.
Current statistics are not know from that period on.
Sodium bicarbonate. IV assists in the correction of metabolic acidosis. It should not be given prior to ventilation being established.
Dextrose IV is given to correct or prevent hypoglycemia.
Conation (Vitamin K) IV to reduce risks… associated with haemorrhage. Some centres give Vitamin K orally.
Dexamethasone. IV or intramuscularly to minimize the risk of cerebral
oedema if severe asphyxia is present.
P 644, indicates Teratogenic Effects: (harm to the fetus/neonate)
The fetus in utero is especially vulnerable to the effect of medicines. Some medicines that are harmless to the
pregnant women herself can have an adverse effect on the fetus. A number of medicines (teratogenic
drugs) cause fetal
abnormalities and this damage generally occurs during the first 12 weeks of pregnancy (first 3 months). The embryo is
particularly at risk during the main period of organogenesis which is the initial 8 weeks of development.
Medicines found in the home and considered innocuous in the home, such as aspirin,
anti-emetics and mild sedatives, should
be considered potentially dangerous during pregnancy. It is safest to assume "all medicines"
given to the pregnant woman are
also given to the fetus, as the placenta is NOT a barrier to most drugs. It must be remembered
that many drugs pass into the
breast milk and affect the neonate.
EFFECTS OF DRUGS ON THE FETUS DURING LABOR: P 645
Myles . . . "It is well known that narcotic drugs such as morphine and
diamorphine have a depressive effect on the fetal
respiratory centre. Pethidine can also depress respiration at birth, and is best avoided
during the last 2 or 3 hours of labour,
expecially if a second or subsequent dose is being considered.
PRECONCEPTION -- PRE-PREGNANCY CARE:
P 645. Pre-pregnancy care and education should be widely available to all young men and women, and information about the dangers of taking medicines in early pregnancy should be
MEDICAL RECORDS:
(Note, all around the world, no timing of the clamping of the cord was ever done, or
the
condition of the cord, when clamped, like firm, red, and pulsating. Or cord clamped after
placenta expelled, and was
white/silver, limp and not pulsating. And this record of treatment left with the legal guardians
of the child.
On page 220, duties of the medical person are indicate that "A complete
and accurate account of the labor including the
documentation of all drugs and observations is the midwife's responsibility. This should also
include details of examination of the
placenta, membranes and cord with attention drawn to any abnormalities. The volume of blood loss
is particularly important.
This record not only provides information which may be critical in the future care of both mother and
baby but is a legal document
which may be used as evidence of the care given. Signatures are therefore essential with c-signatories
where necessary.
Many mothers now carry their own notes or are supplied with a co-operation card. The completed records are a vital
communication link between the midwife responsible for delivery and other caregivers, including the
community midwife.
It is usually the midwife who completes the birth notification form. this
must be sent within 36 hours to the medical officer of the
health district in which the baby was born."
Note: TIME OF THE CLAMPING MEDICAL RECORDS:
Comments: I do not see directives for clearly stating to record the time the cord was clamped, and the condition of the cord, white, silver, limp or not pulsating or red, firm, pulsating.
Nor do I see directives for mentioning about draining out a full placenta to
measure how much blood the infant was deprived if
early cord clamping was done to the child.
Deprivation of blood can measure 4 to 6 ounces of total volume of blood, or
20 to 50 percent total volume blood deprivation.
Why would they not want to record that information if that blood deprivation is a benefit to the child?
Such deprived children are anemic and subjected to infections and other blood
disorders and disease, even holes in the heart.
____________________
Search this www.lotusbirth.com web site for
: AAP policy, SOGC policy, ACOG policy; Placenta; Fetus to Neonate
Circulation; 30-second clamping; World Health Organization and Dupont ; Circumcision ; Dr. Sarah Buckley's
Declaration ; pH
receptors ; References ; Canadian Criminal Codes and when a baby is a person; and any other subject
you may be interested in
child birth.
Search Lotusbirth
(Reference from Protect Babies
http://www.123-baby-birth.com)
Search at Google this web site for the " No Policies " on equal
protection to babies from the various government officials who appointed representatives to protect
the public on medical
policies and practices; also the "No policies" of the various medical associations, societies,
and colleges did not live up to no
form of discrimination to women or the child of any kind. It is believed medical persons had a
duty to have a policy of equal
protection and security of person, regardless of: age, mental or physical disadvantages ; race,
color, social or marital status of
the pregnant lady ; or belief or faith of the family, or genetic type of blood sought for by medical
researchers, for stem cell
matching, and use of white cells, mature red cells, platelets, enzymes, hormones, and plasma.
contact: dyoung@pris.ca
Home Page: www.lotusbirth.com
A medical web site to visit:
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www.thepetitionsite.com/takeaction/102580814
