Delayed Cord Clamping

There are several ways to  define delayed cord clamping.  According to the World Health Organization (WHO), delayed cord clamping is cutting the cord 1-3 minutes after birth, a practice the WHO recommends for all births.  Home birth midwives practice delayed cord clamping where the umbilical cord is not clamped and cut until the cord has stopped pulsing or until after the placenta is delivered.  Delayed cord clamping is known to improve maternal and infant outcomes.

Before birth, the fetus and placenta share a blood supply separate from the mother’s. The placenta and umbilical cord provides the baby with oxygen, nutrients plus clears waste. During fetal life, the placenta performs the role of lungs, kidneys, gut and liver for the fetus. This is why a significant portion of the baby’s total blood volume is in the placenta at any given time. The blood circulating in the placenta is not ‘extra’ blood or waste it belongs to the baby.

Immediately after birth, the placenta continues to provide essential oxygen and nutrients, as the placenta pulsates, placenta transfusion, a vital part of the birth process, transfers blood back to the baby. Placental transfusion provides red blood cells, plus stem and immune cells, in addition to, blood volume. Delayed cord clamping allows time for the placental transfusion, ensuring adequate oxygen levels and blood volume in the baby.

The benefits of delayed cord clamping for the baby include a healthy blood volume for the transition to life outside the womb, plus a full count of red blood cells, stem cells and immune cells. Newborns with delayed cord clamping have higher hemoglobin levels 24 to 48 post partum and less likely to be iron deficient three to six months after birth.  For the mother, delayed clamping can prevent complications with delivering the placenta and prevent postpartum hemorrhage.  Contact Raquel at

Breastfeeding is Beneficial

Breastfeeding has several significant positive consequences for women’s health.  Women who breastfeed have lower risks of breast and ovarian cancer, as well as type 2 diabetes.  This blog entry is about the simple, yet effective ways to promote the breastfeeding relationship between mother and baby during the postpartum period and some simple breastfeeding techniques.

After birth, skin to skin contact between mother and baby facilitates bonding and promotes breastfeeding.  Mothers and babies benefit from smelling each other, so there is no need for baby hats.  Babies do not need baths either.  If your baby has vernix caseosa, a white creamy substance, which protects their skin from the constant exposure to amniotic fluid, just rub it into the baby’s skin or into your skin.  Lastly, it is important not to give your baby pacifiers.  Babies can self sooth or nurse.

Midwives and doulas assist mothers in initiating breastfeeding within half-hour of birth.  After that first latch, babies will fall into a deep sleep.  Once they wake up, newborns nurse on demand every two to three hours.  It is easiest to start nursing once you notice your baby getting fidgety or smacking their lips.  If you miss these cues, you may need to calm your baby by placing your finger gently in their mouth until they are calm enough to nurse.

The classic nursing position is called the cradle hold.  To use this position, cradle your baby’s head in the nook of your arm, and use pillows to stay in a straight line, belly to belly.  With the other hand, cup your breast between your thumb and index finger and insert your nipple to the roof of your baby’s mouth.  When your baby is latched correctly, your nipple and at least part, if not all, the areola-the dark area surrounding the nipple-is in your baby’s mouth.  There are several other popular nursing positions that include the cross over hold, the football hold, and reclining position.

Many times when your baby needs to take a break or wants to switch sides, she/he will open and release your breast.  If your baby does not release or is latched on incorrectly, gently slide your finger into the side of your baby’s mouth, go past your baby’s lips and between the gums.  This will break the suction.  Keep your finger between your baby’s gums until your nipple is removed.

Other good resources are Ina May’s Guide to Breastfeeding and The Womanly Art of Breastfeeding by the La Leche League International.  For more support from other local breastfeeding moms, contact your local La Leche League International.  For more information, contact me at

Water Births

Water Births

After a long hard day, people often like to take a long, warm bath.  So for a lot of pregnant woman, a water birth is enticing.

A water birth is the process of giving birth in a tub of warm water.  Water births can alleviate pain and promote a gentle transition for the baby.  Some women begin labor in the water, but decide to get out for the birth.  It all depends on the desires of the laboring woman.

There are many benefits of a water birth for the mother.  First, warm water is relaxing, comforting and soothing.  It allows women to focus on the birthing process.  In active labor and transition, water has shown to increase a woman’s energy, and the buoyancy allows free movement and makes frequent position changes easier.  Women tend to have improved circulation, resulting in better oxygenation which causes less pain for the mother and additional oxygen for the baby.  Water seems to reduce stress- related hormones and allows the production of endorphins which serve as pain inhibitors.  Immersion in water can also lower blood pressure.  Lastly, but equally important, water reduces perineal tears.

There are two benefits for the baby. A water birth provides an environment similar to the amniotic sac and it eases the stress of birth.  Babies seem to enjoy the water as much as mothers do.  People often think babies are in danger of starting to breathe underwater, but remember, babies perform under water just as well as in amniotic fluid.

There are several instances when a water birth is not a good idea; if the mother has a herpes outbreak, if the baby is preterm or if a thick meconium is seen in the amniotic fluid after the waters have broken.  However, in general, water births can be a comforting and beneficial aid to labor and birth.  For more information, contact me at