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Health Corner: Cutting the umbilical cord too soon. My experience at Waccamaw Community Hospital, South Carolina (USA)

Cutting the umbilical cord to soon causes problems people it's a concrete fact! It happened to my son and this is why we do Health Corner because people like Scott A. Nicol, MD. of Pawley's Island South Carolina think they know everything there is to know. Scott Nicol inspired this article with his negative behavior, and lack of knowledge I will elaborate more on. I've collected some very interesting facts below along with 50 creditable references to support my simple question that Mr. Scott Nicol M.D. had no knowledge of.

This issue of cutting the umbilical cord too soon after birth already interested me because of the forthcoming birth of my third child. Because of the events that accrued during the birth of my child at Waccamaw Community Hospital in Murrels Inlet South Carolina and Scott Nicol M.D., I am forced to bring light to this subject of cutting the umbilical cords too soon. Let me begin with the situation…

My child was born at  cesarian birth because the the umbilical cord was wrapped around him and could not come down naturally through the birth canal. He was born 12:15 a.m. at Waccamaw Community Hospital in Murrells Inlet South Carolina, they cut the umbilical cord a few seconds after they pulled him out, placed him in the warmer, began to monitor, and run test on him. As I am watching the nurses treat my child the pediatrician standing next to me Scott A. Nicol, M.D. is explaining to me that they are checking his oxygen levels because his monitors read it as being low. I instantly thought back to Nzinga Noela being interviewed by Mutabaruka talking about cutting the umbilical too soon and how it effects babies oxygen. Pay close attention cause this is where the story gets sticky. I asked the pediatrician "has he ever heard of the umbilical being cut to soon?" He replied very boastingly with "No! That sounds like B.S. (Bull Shit)" which was unnecessary when your a person in a professional position. He continued on with his rant about how he's been a pediatrician for over 20 years and he has never heard of such B.S. laughing as if my question was stupid and had no facts behind it . I must be honest and mention that I did say to him "just because you've been a doctor for 20 years doesn't mean you know everything." He took offense to that and reported that I made an outburst.


Let me give Scott A. Nicol, M.D. another outburst then… Because you go to school and studied a few books that earned you enough qualification at that time to label yourself as an M.D. doesn't mean the world has stopped evolving and making new medical discoveries. Here is one fact among many others that he evidently does not know. Waiting for at least three minutes before clamping the umbilical cord in healthy newborns improves their iron levels at four months and decreases the occurrence of infant anemia.  Delayed cord clamping was not linked to infant jaundice or other adverse health effects. Other studies have shown waiting three minutes before clamping the umbilical cord at birth can boost a newborn's blood volume by one third leading to higher blood perfusion, which has a multitude of benefits for both full term and premature infants. Delaying clamping of the umbilical cord for at least a minute after birth allows more time for blood to move from the placenta and helps boost iron stores and hemoglobin levels in newborns, without increasing the risks to mothers..the New York Times! Medical bodies, senior doctors and the National Childbirth Trust (NCT) in the UK want maternity staff to stop routinely clamping the cord within seconds of the baby's arrival and instead leave it untouched for anything from 30 seconds to whenever it stops pulsating naturally, usually within two to five minutes. CLAMPING a newborn baby's umbilical cord too soon after birth can lead to oxygen deprivation and may explain the dramatic rise in autism, scientists have warned. What is the rush? Now let me end with this quote "The quality of life depends on the quality of birth"and below are my fifty references for Scott A Nicol M.D. to show him don't judge a book by it's cover, he's rude, disrespectful, and on top of all that he charged my newborn child $329.00! As for Waccamaw Community Hospital in Murrells Inlet South Carolina on a scale from 1 thru 10 I would give you a negative two (-2) only because of the few good nurses on staff. This is from their web site… Georgetown Hospital System thinks babies are worth celebrating, so we do all we can to help the new parents make the experience memorable. The experience at Waccamaw Community Hospital was so disgraceful my lady is thinking of suing.


1.Philip AG, Saigal S. When should we clamp the umbilical cord? Neoreviews 2004;5:e142–54.

2.Aladangady N, McHugh S, Aitchison TC, Wardrop CA, Holland BM. Infants’ blood volume in a controlled trial of placental transfusion at preterm delivery. Pediatrics 2006;117:93–8. [PubMed] [Full Text]

3.Baenziger O, Stolkin F, Keel M, von Siebenthal K, Fauchere JC, Das Kundu S, et al. The influence of the timing of cord clamping on postnatal cerebral oxygenation in preterm neonates: a randomized, controlled trial. Pediatrics 2007;119:455–9. [PubMed] [Full Text]

4.Bell EF. When to transfuse preterm babies. Arch Dis Child Fetal Neonatal Ed 2008;93:F469–73. [PubMed] [Full Text]

5.Ceriani Cernadas JM, Carroli G, Pellegrini L, Otano L, Ferreira M, Ricci C, et al. The effect of timing of cord clamping on neonatal venous hematocrit values and clinical outcome at term: a randomized, controlled trial. Pediatrics 2006;117:e779–86. [PubMed] [Full Text]

6.Chaparro CM, Fornes R, Neufeld LM, Tena Alavez G, Eguia-Liz Cedillo R, Dewey KG. Early umbilical cord clamping contributes to elevated blood lead levels among infants with higher lead exposure. J Pediatr 2007;151:506–12. [PubMed]

7.Chaparro CM, Neufeld LM, Tena Alavez G, Eguia-Liz Cedillo R, Dewey KG. Effect of timing of umbilical cord clamping on iron status in Mexican infants: a randomised controlled trial. Lancet 2006;367:1997–2004. [PubMed] [Full Text]

8.Geethanath RM, Ramji S, Thirupuram S, Rao YN. Effect of timing of cord clamping on the iron status of infants at 3 months. Indian Pediatr 1997;34:103–6. [PubMed]

9.Grajeda R, Perez-Escamilla R, Dewey KG. Delayed clamping of the umbilical cord improves hematologic status of Guatemalan infants at 2 mo of age. Am J Clin Nutr 1997;65:425–31. [PubMed] [Full Text]

10.           Hofmeyr GJ, Bolton KD, Bowen DC, Govan JJ. Peri-ventricular/intraventricular haemorrhage and umbilical cord clamping. Findings and hypothesis. S Afr Med J 1988;73:104–6. [PubMed]

11.           Hofmeyr GJ, Gobetz L, Bex PJ, Van der Griendt M, Nikodem C, Skapinker R, et al. Periventricular/intraventricular hemorrhage following early and delayed umbilical cord clamping. A randomized controlled trial. Online J Curr Clin Trials 1993;Doc No 110. [PubMed]

12.           Ibrahim HM, Krouskop RW, Lewis DF, Dhanireddy R. Placental transfusion: umbilical cord clamping and preterm infants. J Perinatol 2000;20:351–4. [PubMed]

13.           Jahazi A, Kordi M, Mirbehbahani NB, Mazloom SR. The effect of early and late umbilical cord clamping on neonatal hematocrit. J Perinatol 2008;28:523–5. [PubMed]

14.           Jaleel R, Deeba F, Khan A. Timing of umbilical cord clamping and neonatal haematological status. J Pak Med Assoc 2009;59:468–70. [PubMed]

15.           Kugelman A, Borenstein-Levin L, Riskin A, Chistyakov I, Ohel G, Gonen R, et al. Immediate versus delayed umbilical cord clamping in premature neonates born <35 weeks: a prospective, randomized, controlled study. Am J Perinatol 2007;24:307–15. [PubMed] [Full Text]

16.           Linderkamp O. Blood rheology in the newborn infant. Baillieres Clin Haematol 1987;1:801–25. [PubMed]

17.           McDonnell M, Henderson-Smart DJ. Delayed umbilical cord clamping in preterm infants: a feasibility study. J Paediatr Child Health 1997;33:308–10. [PubMed]

18.           Mercer J, Erickson-Owens D. Delayed cord clamping increases infants’ iron stores. Lancet 2006;367:1956–8. [PubMed] [Full Text]

19.           Mercer JS, McGrath MM, Hensman A, Silver H, Oh W. Immediate and delayed cord clamping in infants born between 24 and 32 weeks: a pilot randomized controlled trial. J Perinatol 2003;23:466–72. [PubMed] [Full Text]

20.           Mercer JS, Vohr BR, McGrath MM, Padbury JF, Wallach M, Oh W. Delayed cord clamping in very preterm infants reduces the incidence of intraventricular hemorrhage and late-onset sepsis: a randomized, controlled trial. Pediatrics 2006;117:1235–42. [PubMed] [Full Text]

21.           Rabe H, Diaz-Rossello JL, Duley L, Dowswell T. Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes. Cochrane Database of Systematic Reviews 2012, Issue 8. Art. No.: CD003248. DOI: 10.1002/14651858.CD003248.pub3. [PubMed] [Full Text] 

22.           Rabe H, Wacker A, Hulskamp G, Hornig-Franz I, Schulze-Everding A, Harms E, et al. A randomised controlled trial of delayed cord clamping in very low birth weight preterm infants. Eur J Pediatr 2000;159:775–7. [PubMed]

23.           Ultee CA, van der Deure J, Swart J, Lasham C, van Baar AL. Delayed cord clamping in preterm infants delivered at 34 36 weeks’ gestation: a randomised controlled trial. Arch Dis Child Fetal Neonatal Ed 2008;93:F20–3. [PubMed]

24.           van Rheenen P, Brabin BJ. Late umbilical cord-clamping as an intervention for reducing iron deficiency anaemia in term infants in developing and industrialised countries: a systematic review. Ann Trop Paediatr 2004;24:3–16. [PubMed]

25.           van Rheenen P, de Moor L, Eschbach S, de Grooth H, Brabin B. Delayed cord clamping and haemoglobin levels in infancy: a randomised controlled trial in term babies. Trop Med Int Health 2007;12:603–16. [PubMed] [Full Text]

26.           van Rheenen PF, Gruschke S, Brabin BJ. Delayed umbilical cord clamping for reducing anaemia in low birthweight infants: implications for developing countries. Ann Trop Paediatr 2006;26:157–67. [PubMed]

27.           Mercer JS, Skovgaard RL. Neonatal transitional physiology: a new paradigm. J Perinat Neonatal Nurs 2002;15:56–75. [PubMed]

28.           Oh W. Timing of umbilical cord clamping at birth in full-term infants. JAMA 2007;297:1257–8. [PubMed] [Full Text]

29.           Rabe H, Reynolds G, Diaz-Rossello J. A systematic review and meta-analysis of a brief delay in clamping the umbilical cord of preterm infants. Neonatology 2008;93:138–44. [PubMed]

30.           Umbilical cord blood banking. ACOG Committee Opinion No. 399. American College of Obstetricians and Gynecologists. Obstet Gynecol 2008;111:475–7. [PubMed] [Obstetrics & Gynecology]

31.           Linderkamp O, Nelle M, Kraus M, Zilow EP. The effect of early and late cord-clamping on blood viscosity and other hemorheological parameters in full-term neonates. Acta Paediatr 1992;81:745–50. [PubMed]

32.           Yao AC, Lind J. Effect of early and late cord clamping on the systolic time intervals of the newborn infant. Acta Paediatr Scand 1977;66:489–93. [PubMed]

33.           Pisacane A. Neonatal prevention of iron deficiency. BMJ 1996;312:136–7. [PubMed] [Full Text]

34.           Eichenbaum-Pikser G, Zasloff JS. Delayed clamping of the umbilical cord: a review with implications for practice. J Midwifery Womens Health 2009;54:321–6. [PubMed] [Full Text]

35.           Hutton EK, Hassan ES. Late vs early clamping of the umbilical cord in full-term neonates: systematic review and meta-analysis of controlled trials. JAMA 2007;297:1241–52. [PubMed] [Full Text]

36.           Emhamed MO, van Rheenen P, Brabin BJ. The early effects of delayed cord clamping in term infants born to Libyan mothers. Trop Doct 2004;34:218–22. [PubMed]

37.           Gupta R, Ramji S. Effect of delayed cord clamping on iron stores in infants born to anemic mothers: a randomized controlled trial. Indian Pediatr 2002;39:130–5. [PubMed]

38.           Kinmond S, Aitchison TC, Holland BM, Jones JG, Turner TL, Wardrop CA. Umbilical cord clamping and preterm infants: a randomised trial. BMJ 1993;306:172–5. [PubMed] [Full Text]

39.           Levy T, Blickstein I. Timing of cord clamping revisited. J Perinat Med 2006;34:293–7. [PubMed]

40.           van Rheenen PF, Brabin BJ. A practical approach to timing cord clamping in resource poor settings. BMJ 2006;333:954–8. [PubMed] [Full Text]

41.           Strauss RG, Mock DM, Johnson K, Mock NI, Cress G, Knosp L, et al. Circulating RBC volume, measured with biotinylated RBCs, is superior to the Hct to document the hematologic effects of delayed versus immediate umbilical cord clamping in preterm neonates. Transfusion 2003;43:1168–72. [PubMed]

42.           McDonald SJ, Middleton P. Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. Cochrane Database of Systematic Reviews 2008, Issue 2. Art. No.: CD004074. DOI: 10.1002/14651858.CD004074.pub2. [PubMed] [Full Text]

43.           Sanberg PR, Park DH, Borlongan CV. Stem cell transplants at childbirth. Stem Cell Rev 2010;6:27–30. [PubMed]

44.           Coggins M, Mercer J. Delayed cord clamping: advantages for infants. Nurs Womens Health 2009;13:132–9. [PubMed]

45.           Hutchon DJ. Delayed cord clamping may also be beneficial in rich settings. BMJ 2006;333:1073. [PubMed] [Full Text] 

46.           Philip AG. Delayed cord clamping in preterm infants. Pediatrics 2006;117:1434–5. [PubMed] [Full Text]

47.           Rabe H, Alvarez JR, Lawn C, Seddon P, Amess PN. A management guideline to reduce the frequency of blood transfusion in very-low-birth-weight infants. Am J Perinatol 2009;26:179–83. [PubMed] [Full Text]

48.           Weeks A. Umbilical cord clamping after birth. BMJ 2007;335:312–3. [PubMed] [Full Text]

49.           Hosono S, Mugishima H, Fujita H, Hosono A, Minato M, Okada T, et al. Umbilical cord milking reduces the need for red cell transfusions and improves neonatal adaptation in infants born at less than 29 weeks’ gestation: a randomised controlled trial. Arch Dis Child Fetal Neonatal Ed 2008;93:F14–9. [PubMed] 

50.           Hosono S, Mugishima H, Fujita H, Hosono A, Okada T, Takahashi S, et al. Blood pressure and urine output during the first 120 h of life in infants born at less than 29 weeks’ gestation related to umbilical cord milking. Arch Dis Child Fetal Neonatal Ed 2009;94:F328–31. [PubMed]

51.           Rabe H, Jewison A, Alvarez RF, Crook D, Stilton D, Bradley R, et al. Milking compared with delayed cord clamping to increase placental transfusion in preterm neonates: a randomized controlled trial. Brighton Perinatal Study Group. Obstet Gynecol 2011;117:205–11. [PubMed] [Obstetrics & Gynecology]

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