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Medical Forum / General / General / March 2005Yay Bradley Method! BOO cord blood collection company
YAY BRADLEY METHOD! "E" just wrote to me: "We are now taking Bradley birth classes and I have learned of the benefits of waiting until the cord has stopped pulsing before cutting/clamping..." YAY! "E" wrote further: "The instructions included with the [cord blood collection] kit call for clamping as soon as possible." BOO CORD BLOOD COLLECTION COMPANY! "E" still wants to donate her baby's cord blood: "I would like to include my own instructions in my birth plan so that I can achieve both of my goals." "E" asks: "Is there any information you can give me to help with this?" Dear "E", Your birth plan should clearly indicate what retired obstetrician George Malcom Morley, MB ChB FACO indicates: DO NOT CLAMP UNTIL THE CORD HAS STOPPED PULSATING AND MY BABY IS PINK AND BREATHING AND NOT IN NEED OF RESUSCITATION. Your Bradley Method instructor no doubt has the requisite information and references. "Clamping as soon as possible" is obvious CHILD ABUSE - unless there is an actual need to clamp as soon as possible - which is rare. One does NOT rob babies (or anyone else) of up to 50% of their blood volume - not even if there are "neonatal teams" at-the-ready to rush them across the room to resuscitate them. NOTE: Top cord blood scientist Peter Hollands, PhD told me in effect that since OBs do immediate cord clamping routinely, it is normal - and when I pointed out his flawed logic - he went silent... A "blind-trust-in-doctors" pregnant woman named Amy E. Austin appeared... See Cord clamping horror (part 2) What is Amy's agenda? http://groups-beta.google.com/group/ misc.kids.pregnancy/msg/d50e9f3f531c1188 I am so glad the Bradley Method educated you about letting the cord stop pulsating. Good luck. Sincerely, Todd PS1 Could you tell me if your Bradley Method Student Workbook pictures a delivery position called "the Bradley Classic" (semisitting)? Semisitting delivery closes the birth canal up to 30% - like dorsal lithotomy. PS2 I am taking the liberty of answering you publicly, concealing your name and email address. ----- Original Message ----- From: "E" To: <todd@chiromotion.com> Sent: Monday, March 28, 2005 8:00 AM Subject: cord blood collection > Dear Dr. Gastaldo, > I was doing a google search on the subject of cord blood collection and > clamping when I came across your exchange in the MedKB forum. [probably > misc.kids.pregnancy or misc.kids.breastfeeding - TG] > I have always been interested and excited about collecting my babies cord > blood for donation to the public bank. My hospital does not participate > in any program, but I was able to find an indpendent blood bank that has > sent a collection kit at no charge and my doctor has agreed to perform the > collection. > We are now taking Bradley birth classes and I have learned of the benefits > of waiting until the cord has stopped pulsing before cutting/clamping. I, > of course, don't want to detract from my babies health for the benefit of > the donation. The instructions included with the kit call for clamping as > soon as possible. I would like to include my own instructions in my birth > plan so that I can achieve both of my goals. Is there any information you > can give me to help with this? > > Thank you, > E > YAY BRADLEY METHOD! > [quoted text clipped - 18 lines] > > "E" asks: "Is there any information you can give me to help with this?" Fwiw, we waited until Micaela's cord stopped pulsing *AND* collected cord blood *AND* were able to obtain a sufficient sample. The little munchkin still got 9 APGARs for cyanic hands. Richard Micaela's dad NO CLAMPING: BABY DIDN'T BREATHE FOR 9 MINUTES! WOW! See below... >> YAY BRADLEY METHOD! >> [quoted text clipped - 27 lines] > Richard > Micaela's dad Richard, Obviously, little Michaela's cyanic hands have since "pinked up" and 9 APGARs sounds pretty darn good. Still, I would not have allowed clamping with any part of my baby still cyanic. I would have kept everything warm. In 1957, Mavis Gunther, MD reported a case where cord and baby were kept warm and cord pulsating went on for 20 minutes. Dr. Morley exclaimed regarding Dr. Gunther's case: "Figure 1 is a recording of a placental transfusion [3] obtained by placing the newborn at the level of the placenta, wrapped in a warm blanket, on a recording scales. It was obviously not a typical birth - the cord pulsated for 19 minutes, the placental transfusion (cord closure) was completed after 20 minutes, and the child started crying about ten minutes after birth!" And then... "During the first nine minutes...[t]here is no record of it breathing during this time..." [Gastaldo remarks - WOW!] Finally... "Weight variation, INFLUENCED BY UTERINE CONTRACTIONS, indicates that a virtual tidal wave of placental blood flow was adequately oxygenating the child in the absence of any obvious lung function." (emphasis added)...Marked vertical 'activity' lines occur at the height of UTERINE CONTRACTION/TRANSFUSION PEAKS..." (emphasis added) Dr. Morley discussing Gunther M. The Transfer of Blood Between the Baby and the Placenta. Lancet 1957;I:1277-1280. http://www.cordclamping.com/cry.htm As I wrote to "E"... Your birth plan should clearly indicate what retired obstetrician George Malcom Morley, MB ChB FACO indicates: DO NOT CLAMP UNTIL THE CORD HAS STOPPED PULSATING AND MY BABY IS PINK AND BREATHING AND NOT IN NEED OF RESUSCITATION. My thanks to Canadian grandmother Donna Young for calling my attention to the immediate cord clamping child abuse. Todd PS 1957 - the year Mavis Gunther, MD reported her remarkable case - was also the year that Borell and Fernstrom demonstrated radiographically (albeit indirectly) that semisitting and dorsal delivery close the birth canal - up to 30% it turns out. Thank you for the advice! The Bradley work book does show the semi-reclined position (I think you are talking about the "squat" at 45 degrees - right?). It is one of about 10 positions they show. I don't have the work book with me, but I believe the "Classic" postion is a side lying one. Thanks again, "E" > Thank you for the advice! Quite welcome. > The Bradley work book does show the semi-reclined position (I think you > are talking about the "squat" at 45 degrees - right?). It is one of [quoted text clipped - 3 lines] > Thanks again, > "E" Dear "E" - The semi-reclined position - woman on her sacrum closing her birth canal up to 30% - *used* to be the Bradley "Classic." I am most interested to know if Bradley Method has adopted side-lying as the new Bradley "Classic." Todd > [ . . . ] > Still, I would not have allowed clamping with any part of my baby still > cyanic. I examined her cord closely; it was completely still with no evidence of blood flow. > I would have kept everything warm. We did, and, as you suggested, her hands did 'pink up' quickly. Fwiw, Lily labored almost entirely on her knees (leaning against the head of the birthing bed, which was raised), and delivered on her side, right into my hands (I learned why the term "catch" is used to describe the action of welcoming a newborn -- once her second shoulder was born, she popped out!). Richard 29 months later, still thrilled to be Micaela's dad
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