Once the umbilical cord and placenta are out of the womb, blood will stop circulating and the placenta will be dead tissue. The blood in the placenta could get an infection, and infect your baby.
If the placenta, or pieces of the placenta, stay inside your uterus, you can develop an infection. A retained placenta or membrane has to be removed and you will need to see your doctor right away. If you have major bleeding, this is a medical emergency and you should go to your nearest hospital immediately.
“Lotus birth (or umbilical nonseverance) is the practice of leaving the umbilical cord uncut after childbirth so that the baby is left attached to the placenta until the cord naturally separates at the umbilicus, usually 3 to 10 days after birth,” Fisher explains on Facebook.
When the umbilical cord is not cut, it naturally seals off after about an hour after birth. The umbilical cord and attached placenta will fully detach from the baby anywhere from two to 10 days after the birth.
Delayed umbilical cord clamping is associated with significant neonatal benefits in preterm infants, including improved transitional circulation, better establishment of red blood cell volume, decreased need for blood transfusion, and lower incidence of necrotizing enterocolitis and intraventricular hemorrhage.
For some people, lotus birth is a spiritual or ritualistic practice. Keeping the baby and placenta connected following birth may be seen as allowing a natural process to unfold without unnecessary intervention. Unmedicated childbirth and home birth are popular among parents who choose lotus birth.
The biggest concern with delayed cord clamping is the risk of hyperbilirubinemia and jaundice caused by excess toxins in the bloodstream (common symptom: yellowing of the skin and whites of the eyes).
"Hospitals are very worried about safety, because the placenta really is a biohazard," says Titi Otunla, a certified nurse midwife at Texas Children's Pavilion for Women in Houston. "It's full of blood, it's not very sanitary-it could be a public health nightmare."
Gray scale ultrasound is the most used imaging method in the diagnosis of retained placental tissue. On the ultrasound images you can see a thickened endometrial echo complex (EEC), ranging from 8 to 13 mm, or an intracavitary mass.
When the placenta is removed from the uterus by hand, it is called manual removal. This causes considerable discomfort and pain.
If the placenta is separated but not expelled, such as in the case of uterine atony, the tissue can be firmly grasped and brought through the cervix. Uterotonic medications, such as oxytocin, methylergonovine, carboprost, or other prostaglandins, should be given to facilitate contraction once the placenta is removed.
The decision to attempt manual removal of the placenta and membranes in an otherwise normal labor and birth should be based on one of two indications: The sudden occurrence of hemorrhage but the placenta gives no indication of delivering. This may mean that at least partial separation has occurred.
The first hour after birth when a mother has uninterrupted skin-to-skin contact with her newborn is referred to as the “golden hour.” This period of time is critical for a newborn baby who spent the past nine months in a controlled environment.
But now, medical groups including the World Health Organization (WHO), have recommended a cord cutting delay for most full-term and preterm babies, whether they're delivered vaginally or via C-section, until one to three minutes after birth.
You can safely delay cord clamping by 30 to 60 seconds in both vaginal and cesarean deliveries. The baby should be: Full term. Vigorous (moving, crying and pinking up with blood flow after delivery).
The benefits of delayed umbilical cord clamping
As well as assisting the change from foetal to neonatal (newborn) blood circulation, the benefits include: Increased neonatal blood volume. Improved neonatal and infant iron stores. Decreased neonatal and infant anaemia.
Delayed cord clamping, or DCC, following labor and delivery is a practice that has become standard of care at many hospitals, including Women & Babies Hospital. Endorsed by the American College of Obstetrics and Gynecology, delayed cord clamping can be very beneficial to both premature and full-term babies alike.
Hospitals treat placentas as medical waste or biohazard material. The newborn placenta is placed in a biohazard bag for storage. Some hospitals keep the placenta for a period of time in case the need arises to send it to pathology for further analysis.
Does my baby have feeling in their umbilical cord? The umbilical cord doesn't have nerves so your baby has no feeling in the cord. Your baby doesn't feel pain when the doctor cuts the cord. The cord doesn't hurt your baby as it dries, shrinks and falls off.
Doctors traditionally cut the cord so quickly because of long-held beliefs that placental blood flow could increase birth complications such as neonatal respiratory distress, a type of blood cancer called polycythemia and jaundice from rapid transfusion of a large volume of blood.
Most babies will start breathing or crying (or both) before the cord is clamped. However, some babies do not establish regular breathing during this time.
The World Health Organization recommends that the umbilical cord not be clamped earlier than 1 minute after birth in term or preterm newborns. The Royal College of Obstetricians and Gynecologists also recommends deferring umbilical cord clamping for healthy term and preterm infants for at least 2 minutes after birth.
The practice: calms and relaxes both mother and baby. regulates the baby's heart rate and breathing, helping them to better adapt to life outside the womb.