Challenge on Immediate Umbilical Cord Clamping to the American College of Obstetricians and Gyncologists
ACOG, Dr. George M. Morley
A Refutation of ACOG’s Report on Cerebral Palsy
By George Malcolm Morley, MB ChB FACOG
Full report at:
http://www.cordclamping.com/acog-cp.htm
A task force of The American College of Obstetricians and Gynecologists (ACOG) had issued a report
on Neonatal Encephalopathy and Cerebral Palsy; the chairman states: scientific evidence shows that
neonatal encephalopathy and cerebral palsy (CP) are largely not caused by labor and delivery events.”
The President of ACOG says the report is useful for educating doctors, parents and jurors” and that
“adverse outcome has almost nothing to do with medical negligence or error.” The report offers
doctors
legal care; for patients, there is little hope, the causes of brain damage are “unpreventable.”
Note: PETITION www.thepetitionsite.com/takeaction/102580814
Please ask this site to have a Medical Alert Petition Site: petitions@earth.case2.com
We need support, Internationally, to help Canada correct or investigate present training of all medical persons who will or intend to be at a mother's birth.
We need support for informed choices, of both parents, that our babies are not being harvested by methods of Active Management.
Comments by Donna Young: ACOG and the Society of Obstetricians and Gyncologists of Canada
(SOGC), as to their policies #71, December 1998 and Policy #89, May 2000 referenced to Policy #216
November 1995 of ACOG's have failed to make good faith videos and films of doing early (30-second
clamping) and immediate cord clamping showing the child's circulation system interrupted, and further,
the draining out of the placenta of some deprived blood of 4 to 6 ounces of blood.
ACOG and SOGC have failed to report a 9-pound baby only makes 10 ounces of blood (300 milliliters),
and that the child deprived 20 to 60 percent of blood will be weakened, have anemia, suffer the need
of
oxygenated blood, and may die of shock. They have failed to put ICC and ECC on training videos
for the
public and the juries to see. The doctors and the nurses fail to record the condition of the cord
when
clamped and the time during or after birth when the cord is clamped, and the income they are receiving
by
sell the placenta blood and the placenta to drug companies. This neglect and duty can be
compared to
videos available on no clamping or cutting of the infant's umbilical cord, by Dr. Sarah Buckley, something
of natural inclinations and practiced even in Canada, prior to 1929. By parents were of such natural
unassisted births, born in Canada, 1913, 1914, still well today, living on their own, at their request.
This was because drugs were not easily available for unassisted births in Canada, and/or the United
States, so leaving the cord and placenta alone, allowing the baby full blood transfusion, to cut cord,
mean
no cord infections, either, and healthy blue-ribbon-babies. My parents are evidence of longevity
of such
natural births with no interventions that the O & G's are trained to do today, called "active
management."
This implies drugging the mother and thus the baby, followed with early umbilical cord clamping.
Doctors are failing to inform mothers that cord clamping is only cosmetic, except if the cord tore or
for
placenta previa. The doctors are failing to inform the mother's legal rights she can leave the
hospital with
the placenta and cord still attached, and the baby not removed from her site, where they may take the
blood by needle from the placenta's vein, if not protected, and the ethnic group or blood type is wanted
and posted on website, most doctors have access to and hospitals.
_____________________
Dr. Morley, continues . . .
"In relation to the report, the January 2003 OBSTETRICS & GYNECOLOGY (Green Journal) published
a
“Knowledge Survey” of OB’s [1] on the etiology and pathophysiology of neonatal encephalopathy and its
relationship to CP. “Don’t know” was the most frequent response to the multiple-choice questions. The
task force chairman also admits that the “true genesis … of these injuries” has not yet been defined;
he
also states: “most cases of CP are the result of multi-factorial and unpreventable causes that occur
either
during fetal development or in the newborn after delivery.” In fact, the true genesis of these
injuries is
clearly illustrated in the correct answers to his questions:
“In cases of intrapartum asphyxia sufficient to result in cerebral palsy, injury to organ systems other
than
the brain … results from redistribution of cardiac output in an effort to achieve brain sparing.”
In other words, “In cerebral palsy cases that follow intrapartum asphyxia, the brain is the last organ to be damaged by deficient cardiac output.” This is a classic description of the sequential organ injury to kidneys, liver, lungs, heart, and then the brain, caused by hypovolemic shock.
Intrapartum asphyxia is most frequently due to cord compression (e.g. tight cord around the neck) that
impedes cord venous blood flow (the child’s oxygen supply) and shifts fetal blood volume to the placenta;
the child is typically born limp and pallid blue – in shock. Asphyxia is coupled with hypovolemia. Such
neonates seldom exhibit signs of brain damage immediately, they do not convulse at birth.
ACOG Practice Bulletin 138 (B138) states: "Immediately after delivery of the neonate, a
segment of
umbilical cord should be doubly clamped, divided, and placed on the delivery table pending assignment
of the 5-minute Apgar score."
ACOG’s routine treatment (B138) of these depressed neonates is immediate cord clamping to obtain
cord blood pH studies. The child’s only functioning source of oxygen – the placenta – is amputated
together with 30% to 50+% of its natural blood volume. Total asphyxia is imposed until the lungs
function,
and the depressed (asphyxiated, hypovolemic) child starts its extra-uterine life in hypovolemic shock.
Immediate ventilation may not reverse the asphyxia if there is not enough blood volume to perfuse the
pulmonary blood vessels adequately; thus the immediately clamped neonate is very prone to hypoxia and
ischemia – and to hypoxic ischemic encephalopathy (HIE). An Apgar score of less than 7 at 5 minutes
is
an indicator of future neurological defect. [2]
By relieving the cord compression, (unwinding the cord from around the neck, loosening the true knot)
placental circulation reverses the asphyxia and placental transfusion rapidly reverses the hypovolemia.
Pulmonary resuscitation with the placental circulation intact will usually result in a pink, crying
newborn (with
an intact brain) within five minutes. Transfusion of oxygenated placental blood that increases
blood
volume by <50% prevents hypoxic, ischemic injury.
The brain of the immediately clamped, depressed newborn is very probably uninjured at birth.
Deterioration into encephalopathy is certainly multi-factorial. Deficient brain perfusion (ischemia)
due to
hypovolemia, low cardiac output and low blood pressure is the central factor.
Hypoxia and acidemia due to poor lung perfusion are additional factors as is renal shut-down.
Hypoglycemia probably results from inadequate perfusion of the liver, causing deficient conversion of
glycogen into glucose. The areas of the brain that are the most metabolically active suffer first
– from
hypoxia, acidosis, and loss of nutrients, all compounded by inadequate tissue perfusion.
Depending on degree, neuron necrosis may involve the whole cortex, or it may be very limited to one
of
the brain-stem nuclei or the germinal matrix. These lesions are, in essence, infarcts, necrosis
resulting
primarily from inadequate tissue perfusion. The multiple factors involved are NOT, as ACOG claims,
unpreventable;
they can all be avoided completely by not clamping the umbilical cord
.
“Another thing very injurious to the child, is the tying and cutting of the navel string too soon; which should always be left till the child has not only repeatedly breathed but till all pulsation in the cord ceases. As otherwise the child is much weaker than it ought to be, a portion of the blood being left in the placenta, which ought to have been in the child.” Erasmus Darwin, Zoonomia, Vol, III, p 203, 1801.
ACOG recommends and teaches immediate amputation of the placenta at birth to obtain cord blood studies for medico-legal documentation; the results have no bearing on child care. B138 was first published in 1993.
Every cesarean section baby, every depressed child, every premie, and every child born with a neonatal
team in the delivery room has its cord clamped immediately to facilitate the panicked rush to the
resuscitation table. The current epidemic of immediate cord clamping coincides with an epidemic
of
autism.
Dr. Morley ends his concerns with:
"My letters published in the Green Journal, June 2001, asking ACOG to provide an informed consent document for B138 remain unanswered, as do formal complaints regarding B138 to ACOG and the AMA. These parties have remained silent, and they have the right to remain silent; their silence speaks louder than words. ACOG’s report on cerebral palsy is either a colossal error or a grotesque attempt to cover up B138.
References provided by Dr. Morley:
References:
- Hankins, G.V.D. et al. Neonatal Encephalopathy and Cerebral Palsy: A Knowledge Survey of Fellows of the American College of Obstetricians an Gynelogists. OBSTETRICS & GYNECOLOGY: January 2003, Volume101, No. 1, 11-17.
- Thorngren-Jerneck K. et al. A Population Based Register Study of One Million Term Births. Obstetrics & Gynecology 2001 Vol. 98 No. 1: 1024-1026
- Darwin E. (1801) Zoonomia, 3rd edition. London: vol III page 302
- Hurtado EK et al. Early childhood anemia and mild to moderate mental retardation. Am J Clin Nut. 1999; 69(1): 115-9.
- Myers. Two patterns of perinatal brain damage and their conditions of occurrence American Journal of Obstetrics and Gynecology (1972) 112:246-276.
- Peltonen T. Placental Transfusion, Advantage - Disadvantage. Eur J Pediatr. 1981; 137:141-146
- Gunther M. The transfer of blood between the baby and the placenta in the minutes after birth. Lancet 1957;I:1277-1280.
- Meigs, CD. (Professor of Midwifery and Diseases of Women and Children in Jefferson Medical College) The Philadelphia Practice of Midwifery, second edition, 1842, page 193.
- Hankins G.D.V. et al. Neonatal Organ System Injury in Acute Birth Asphyxia Sufficient to Result in Neonatal Encephalopathy. OBSTETRICS & GYNECOLOGY, May 2002. Vol. 99, No. 5, part 1. Pages 688-691
- Williams K., Singh A. The Correlation of Seizures in Newborn Infants With Significant Acidosis at Birth With Umbilical Artery Cord Gas Values: OBSTETRICS & GYNECOLOGY VOL. 100, No. 3, SEPTEMBER 2002, p.557-560.
George Malcolm Morley, MB CHB FACOG
10252 E. Johnson Road
Northport, MI 49670
USA
Phone (231) 386-9687
Fax (231) 386-9655
Email: obgmmorley@aol.com
__________________________
Comments by Donna :
Of the millions of increased victims of autism, and attention deficit disorders, muscle injuries, behavior
problems, and compromised children costing in millions in special education and health care costs, the
hospitals NEVER investigate birth process, specifically, the timing of the clamping of the umbilical
cord,
and if the mother accepted drugs during labor, like oxytocin/Pitocin, or applied creams and gels to
her
cervic, and/or position of birth, flat on the back and semi-sitting birth positions.
These positions close the birth canal up to 30 percent, according to Dr. Todd Gastaldo, a chiropractor,
and Policy #71, December 1998, of SOGC, state gravity positions increase oxygen and blood flow for
the baby. SOGC, in Policy #71, also recommended water births as the legal right of the
mother to have.
No mention in Canada's SOGC's policy of the right to be informed, "no harm done by no clamping
or
cutting of the umbilical cord, with the new name, Lotus Birth. They did recommend "signed"
birth plans.
See homepage:
www.lotusbirth.com
: Index for autism, oxytocin, references (last on the list of contents).
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 on
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 at 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 they 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:
A Petition to Protect Canadian Babies and Mothers, Too:
www.thepetitionsite.com/takeaction/102580814
