#WeMidwives - Tuesday 26th July 2016 8pm (GMT Standard Time) Optimal Cord Clamping

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 Chat Details

 

Hosted by WeMidwives using #WeMidwives

This chat is guest hosted by @charlMidwife

The first few minutes after birth are critical to an infant’s well-being, and increasing evidence suggests that rapidly clamping the umbilical after birth is detrimental to the newborn’s health.

The umbilical cord continues to pulsate for several minutes after birth1, pumping valuable blood and nutrients to the infant. Optimal cord clamping (OCC) is performed after a minimum of 60 seconds after birth or until the umbilical cord stops pulsating2. OCC increases neonatal blood volume by up to 30% in a term infant and by 50% inpreterm infants, compared to early cord clamping.

NICE guidelines recommend that cord clamping should take place between 1 and 5 minutes after birth so long as the heart rateis above 60 beats per minute3, however some maternity services have been slow to implement this practice. 

During this chat we hope to explore thefollowing questions:

What are you experiences of optimal cord clamping?

How can we best share information to help women make positive decisions about OCC?

What further evidence is needed to enhance our understanding of OCC?

Can student midwives influence OCC?

How can we promote OCC to the wider community?

References

1. Hutchon DJR. Immediate or early cord clamping vs delayed clamping. Journal of Obstetrics & Gynaecology 2012;32:724-9.

2. World Health Organisation. Guideline: Delayed umbilical cord clamping for improved maternal and infant health and nutrition outcomes. Geneva: World Health Organization; 2014.

3. National Institute for Health and Care Excellence. Intra partum care: care of healthy women and their babies during childbirth December 2014 https://www.nice.org.uk/guidance/CG190/chapter/1-Recommendations#third-stage-of-labour

4.Burleigh, A. (2016). Cord clamping: the critical first few minutes. [online] Mumandbabyacademy.co.uk http://www.mumandbabyacademy.co.uk/docs/default-source/resources/lansinoh/lansinoh-review 





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 Chat Summary

 

Last night's chat was about a very topical subject - intact @WeMidwives have chatted about delayed or optimal cord clamping before, in 2015

Student midwife Charlene Cole @CharleneSTMW has a passion for the topic, following in the footsteps of Amanda Burleigh @optimalclamping and Hannah Tizzard @bloodtobaby

So another lively chat ensued - and let's hope this adds to the change in practice needed.























































































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 #WeMidwives transcript

 
@MidwifeTiz
26 July 2016 20:00
Rationale - DCC needs fully explained to health workers & women/family, emphasising relevance & benefits (WHO) #roleofthemidwife #WeMidwives
@sheena_byrom
26 July 2016 20:00
RT @CharleneSTMW: @WeMidwives #wemidwives thank you for joining us! What is your experience of OCC? Is it carried out routinely in your tru…
@sheena_byrom
26 July 2016 20:02
@CharleneSTMW @WeMidwives what about yours @alibrodrick @allyclare1 @LindsayHobbs51? #WeMidwives
@charlMidwife
26 July 2016 20:03
@bloodtobaby #wemidwives the problem is that it doesn't seem to be openly discussed between MDT
@sheena_byrom
26 July 2016 20:03
@CharleneSTMW @WeMidwives are you joining us tonight? Do you wait for white? #WeMidwives http://www.wecommunities.org/tweet-chats/chat-details/2820
@charlMidwife
26 July 2016 20:04
@SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 #wemidwives are you seeing my tweets in the chat?
@WeMidwives
26 July 2016 20:04
RT @SagefemmeSB: @CharleneSTMW @WeMidwives what about yours @alibrodrick @allyclare1 @LindsayHobbs51? #WeMidwives
@WeMidwives
26 July 2016 20:04
RT @CharleneSTMW: @bloodtobaby #wemidwives the problem is that it doesn't seem to be openly discussed between MDT
@sheena_byrom
26 July 2016 20:05
RT @CharleneSTMW: @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 #wemidwives are you seeing my tweets in the chat?
@midwife_jane
26 July 2016 20:05
@CharleneSTMW @bloodtobaby @CharleneSTMW @bloodtobaby we do it routinely and have open discussions with MDT #wemidwives
@WeMidwives
26 July 2016 20:06
RT @SagefemmeSB: @CharleneSTMW @WeMidwives are you joining us tonight? Do you wait for white? #WeMidwives https://t.co/RWsmQdBVsL
@charlMidwife
26 July 2016 20:06
@SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 #wemidwives midwives in my trust are excellent at it
@Sally5881
26 July 2016 20:06
RT @CharleneSTMW: @WeMidwives #wemidwives thank you for joining us! What is your experience of OCC? Is it carried out routinely in your tru…
@WeMidwives
26 July 2016 20:06
@CharleneSTMW @SagefemmeSB @alibrodrick @allyclare1 @LindsayHobbs51 don't forget #wemidwives !!!!
@WeMidwives
26 July 2016 20:07
@CharleneSTMW @SagefemmeSB @alibrodrick @allyclare1 @LindsayHobbs51 how can midwives open the conversation #wemidwives
@sheena_byrom
26 July 2016 20:07
What's your experience @JonathanCliffe8 @beetrooter @midwife_jane @gbutcher17 @WeMidwives https://t.co/16kpTGJCZb #wemidwives
@WeMidwives
26 July 2016 20:07
RT @CharleneSTMW: @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 #wemidwives midwives in my trust are excellent at it
@Sally5881
26 July 2016 20:07
@SagefemmeSB @WeMidwives @CharleneSTMW @alibrodrick @allyclare1 @LindsayHobbs51 routine IMO in sheff. Agree Ali? #wemidwives #OCC
@SarahCurtis2000
26 July 2016 20:08
@CharleneSTMW @WeMidwives patchy, some fab some non existent... As a student you see all sorts #occ #wemidwives
@midwife_jane
26 July 2016 20:08
@SagefemmeSB @WeMidwives all positive at @GEHMaternity fully support #waitforwhite and MDT willing to support #wemidwives
@charlMidwife
26 July 2016 20:09
@midwife_jane @bloodtobaby #wemidwives in my experience it is 1 -2 minutes, sometimes longer
@Sally5881
26 July 2016 20:09
RT @CharleneSTMW: @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 #wemidwives midwives in my trust are excellent at it
@midwife_jane
26 July 2016 20:09
@SagefemmeSB @WeMidwives parents given info at AN class about importance of #waitforwhite education is key for parents #wemidwives
@midwife_jane
26 July 2016 20:10
@CharleneSTMW @bloodtobaby until cord is white ! #wemidwives
@charlMidwife
26 July 2016 20:10
@SarahCurtis2000 @WeMidwives #wemidwives yes agreed, student observes, and I speak up when I can!
@MidwifeTiz
26 July 2016 20:10
@CharleneSTMW @midwife_jane @optimalclamping AND patients’ right to be fully informed before any medical intervention #WeMidwives
@WeMidwives
26 July 2016 20:10
RT @sally5881: @SagefemmeSB @WeMidwives @CharleneSTMW @alibrodrick @allyclare1 @LindsayHobbs51 routine IMO in sheff. Agree Ali? #wemidwives…
@WeMidwives
26 July 2016 20:10
RT @SarahCurtis2000: @CharleneSTMW @WeMidwives patchy, some fab some non existent... As a student you see all sorts #occ #wemidwives
@WeMidwives
26 July 2016 20:10
RT @midwife_jane: @SagefemmeSB @WeMidwives all positive at @GEHMaternity fully support #waitforwhite and MDT willing to support #wemidwives
@WeMidwives
26 July 2016 20:10
RT @CharleneSTMW: @SarahCurtis2000 @WeMidwives #wemidwives yes agreed, student observes, and I speak up when I can!
@Sally5881
26 July 2016 20:10
RT @WeMidwives: @CharleneSTMW @SagefemmeSB @alibrodrick @allyclare1 @LindsayHobbs51 how can midwives open the conversation #wemidwives
@QuashieMichelle
26 July 2016 20:10
@WeMidwives Woman on #matExp page saying consultant adamant only 1 min OCC at caesarean birth as uterus bleeds too much? Advice #WeMidwives
@charlMidwife
26 July 2016 20:11
@sally5881 @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 #wemidwives routine in theatre and delivery rooms?
@MumbaiMidwife
26 July 2016 20:11
@bloodtobaby @SagefemmeSB @LindsayHobbs51 @hannahdahlen @DeirdreMunro @millihill @WeMidwives @CharleneSTMWDeffo easier on laptop #wemidwives
@WeMidwives
26 July 2016 20:12
Can any @WeDocs help answer #wemidwives #wedocs https://twitter.com/quashiemichelle/status/758016756376010752
@WeMidwives
26 July 2016 20:12
RT @CharleneSTMW: @sally5881 @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 #wemidwives routine in theatre and delivery…
@SarahCurtis2000
26 July 2016 20:13
@bloodtobaby @WeMidwives @CharleneSTMW Love it, that's what I wanted to hear-blood helps baby compensate. ????local policies #wemidwives
@MichaelaA_NQM
26 July 2016 20:13
@WeMidwives @CharleneSTMW I don't think it's all that routine in my trust #wemidwives
@DeirdreMunro
26 July 2016 20:13
RT @SagefemmeSB: @CharleneSTMW @WeMidwives are you joining us tonight? Do you wait for white? #WeMidwives http://www.wecommunities.org/tweet-chats/chat-details/2820
@Sally5881
26 July 2016 20:13
@CharleneSTMW @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 rarely in theatre new role. Prev trust yes both #wemidwives
@WeMidwives
26 July 2016 20:14
RT @StMwMichaelaA: @WeMidwives @CharleneSTMW I don't think it's all that routine in my trust #wemidwives
@Sally5881
26 July 2016 20:14
@WeMidwives @CharleneSTMW @SagefemmeSB @alibrodrick @allyclare1 @LindsayHobbs51 she is amazing but doesn't tweet ?? #wemidwives
@charlMidwife
26 July 2016 20:14
@sally5881 @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 #wemidwives seems less so in theatre, but no reason for this
@SarahCurtis2000
26 July 2016 20:14
@bloodtobaby @WeMidwives @CharleneSTMW Lecturer mentioned it the other day as a consideration. Heard similar from midwives #wemidwives
@Sally5881
26 July 2016 20:15
@CharleneSTMW @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 some resistance but ODP's fully on board helps #wemidwives
@charlMidwife
26 July 2016 20:16
@WeMidwives @WeDocs #wemidwives concern in our theatres is baby temperature if clamping delayed for too long
@WeMidwives
26 July 2016 20:16
RT @CharleneSTMW: @sally5881 @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 #wemidwives seems less so in theatre, but no…
@SarahCurtis2000
26 July 2016 20:16
@bloodtobaby @CharleneSTMW @optimalclamping Is optimal 1 minute or 5 minutes? #wemidwives
@Sally5881
26 July 2016 20:17
@CharleneSTMW @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 we inc everyone in training ?????? #wemidwives so important
@WeMidwives
26 July 2016 20:17
RT @CharleneSTMW: @WeMidwives @WeDocs #wemidwives concern in our theatres is baby temperature if clamping delayed for too long
@charlMidwife
26 July 2016 20:17
@bloodtobaby @midwife_jane @optimalclamping #wemidwives women not as informed about OCC as other things such as pays 3rd stage
@WeMidwives
26 July 2016 20:17
RT @sally5881: @CharleneSTMW @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 we inc everyone in training ?????? #wemidwives…
@i_mcdermott
26 July 2016 20:17
@midwife_jane @CharleneSTMW I am not convinced that a good explanation is always given to parents. What do you think ? #wemidwives
@charlMidwife
26 July 2016 20:18
@SarahCurtis2000 @bloodtobaby @WeMidwives #wemidwives I read recent research that stated there was no evidence to support jaundice
@midwife_jane
26 July 2016 20:18
@optimalclamping @CharleneSTMW @SagefemmeSB @GEHMaternity Amanda is amazing Charlene! So inspirational #wemidwives
@optimalclamping
26 July 2016 20:18
@SarahCurtis2000 @bloodtobaby @CharleneSTMW #waitforwhite until pulsation completed + cord white #wemidwives
@SarahCurtis2000
26 July 2016 20:18
RT @CharleneSTMW: @SarahCurtis2000 @bloodtobaby @WeMidwives #wemidwives I read recent research that stated there was no evidence to support…
@Sally5881
26 July 2016 20:19
RT @midwife_jane: @optimalclamping @CharleneSTMW @SagefemmeSB @GEHMaternity Amanda is amazing Charlene! So inspirational #wemidwives
@SarahCurtis2000
26 July 2016 20:19
@CharleneSTMW @bloodtobaby @WeMidwives Have you got a link so I can look? Would be very grateful #wemidwives
@charlMidwife
26 July 2016 20:19
@bloodtobaby @SarahCurtis2000 @WeMidwives #wemidwives no eveidence bas for ICC yet used for decades?!
@MumbaiMidwife
26 July 2016 20:19
@midwife_jane @SagefemmeSB @WeMidwives probs in India Massive market for stem cell banking :( #wemidwives change is here but slow
@midwife_jane
26 July 2016 20:19
@i_mcdermott @CharleneSTMW we cover it in depth at @GEHMaternity AN class. Women have usually read about benefits too #wemidwives
@WeMidwives
26 July 2016 20:19
RT @CharleneSTMW: @SarahCurtis2000 @bloodtobaby @WeMidwives #wemidwives I read recent research that stated there was no evidence to support…
@WeMidwives
26 July 2016 20:20
RT @SarahCurtis2000: @CharleneSTMW @bloodtobaby @WeMidwives Have you got a link so I can look? Would be very grateful #wemidwives
@charlMidwife
26 July 2016 20:20
@optimalclamping @SarahCurtis2000 @bloodtobaby #wemidwives usually wait for pulsating to stop, not always easy to see colour in darker room
@WeMidwives
26 July 2016 20:20
RT @CharleneSTMW: @bloodtobaby @SarahCurtis2000 @WeMidwives #wemidwives no eveidence bas for ICC yet used for decades?!
@Sally5881
26 July 2016 20:20
@CharleneSTMW @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 opposite where I was #collaborative approach #wemidwives ??
@WeMidwives
26 July 2016 20:20
RT @MumbaiMidwife: @midwife_jane @SagefemmeSB @WeMidwives probs in India Massive market for stem cell banking :( #wemidwives change is here…
@SarahCurtis2000
26 July 2016 20:20
RT @CharleneSTMW: @optimalclamping @SarahCurtis2000 @bloodtobaby #wemidwives usually wait for pulsating to stop, not always easy to see col…
@WeMidwives
26 July 2016 20:20
RT @CharleneSTMW: @optimalclamping @SarahCurtis2000 @bloodtobaby #wemidwives usually wait for pulsating to stop, not always easy to see col…
@charlMidwife
26 July 2016 20:21
@midwife_jane @i_mcdermott @GEHMaternity #wemidwives that's my experience - limited info, if any
@MidwifeTiz
26 July 2016 20:21
RT @optimalclamping: @SarahCurtis2000 @bloodtobaby @CharleneSTMW #waitforwhite until pulsation completed + cord white #wemidwives
@charlMidwife
26 July 2016 20:21
@midwife_jane @i_mcdermott @GEHMaternity #wemidwives frustrating as if it is at mother's request, easier to advocate for it
@WeMidwives
26 July 2016 20:22
RT @CharleneSTMW: @midwife_jane @i_mcdermott @GEHMaternity #wemidwives frustrating as if it is at mother's request, easier to advocate for…
@charlMidwife
26 July 2016 20:22
@sally5881 @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 #wemidwives collaboration essential, but not always practiced
@WeMidwives
26 July 2016 20:23
RT @CharleneSTMW: @sally5881 @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 #wemidwives collaboration essential, but not…
@MidwifeTiz
26 July 2016 20:23
Trusts plan for monitoring & evaluation of practice DCC with appropriate indicators helpful, Blackpool do this @optimalclamping #WeMidwives
@optimalclamping
26 July 2016 20:23
RT @CharleneSTMW: @optimalclamping @SarahCurtis2000 @bloodtobaby #wemidwives usually wait for pulsating to stop, not always easy to see col…
@charlMidwife
26 July 2016 20:24
@MumbaiMidwife @midwife_jane @SagefemmeSB @WeMidwives #wemidwives so they drain the cord immediately?
@Sally5881
26 July 2016 20:24
RT @CharleneSTMW: @sally5881 @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 #wemidwives collaboration essential, but not…
@charlMidwife
26 July 2016 20:25
@midwife_jane @optimalclamping @SagefemmeSB @GEHMaternity #wemidwives really amanda? That would be amazing, thank you!
@WeMidwives
26 July 2016 20:25
Wonderful discussion about #occ #waitforwhite tonight by @CharleneSTMW and @bloodtobaby Are you participating for revalidation? #wemidwives
@Sally5881
26 July 2016 20:25
@CharleneSTMW @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 one day will become routine ?????? #wemidwives
@WeMidwives
26 July 2016 20:25
RT @CharleneSTMW: @MumbaiMidwife @midwife_jane @SagefemmeSB @WeMidwives #wemidwives so they drain the cord immediately?
@bryonrochensti1
26 July 2016 20:25
RT @CharleneSTMW: @MumbaiMidwife @midwife_jane @SagefemmeSB @WeMidwives #wemidwives so they drain the cord immediately?
@i_mcdermott
26 July 2016 20:25
RT @CharleneSTMW: @midwife_jane @i_mcdermott @GEHMaternity #wemidwives frustrating as if it is at mother's request, easier to advocate for…
@WeMidwives
26 July 2016 20:25
RT @CharleneSTMW: @midwife_jane @optimalclamping @SagefemmeSB @GEHMaternity #wemidwives really amanda? That would be amazing, thank you!
@WeMidwives
26 July 2016 20:25
RT @sally5881: @CharleneSTMW @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 one day will become routine ?????? #wemidwives
@Sally5881
26 July 2016 20:26
RT @CharleneSTMW: @midwife_jane @optimalclamping @SagefemmeSB @GEHMaternity #wemidwives really amanda? That would be amazing, thank you!
@SarahCurtis2000
26 July 2016 20:26
@optimalclamping @bloodtobaby @CharleneSTMW Saw #occ on birth centres, rarely on high risk units. Interesting to hear variation #WeMidwives
@charlMidwife
26 July 2016 20:26
@bloodtobaby @optimalclamping #wemidwives it is in our trust guidelines to delay for 1 min, good but could be better!
@JonathanCliffe8
26 July 2016 20:26
@SagefemmeSB @beetrooter @midwife_jane @gbutcher17 @WeMidwives @CharleneSTMW OCC is practiced daily by all ?? #WeMidwives
@MumbaiMidwife
26 July 2016 20:26
@CharleneSTMW @midwife_jane @SagefemmeSB @WeMidwives yes 4 Stem cell banking but awareness is growing @bloodtobaby infographics #wemidwives
@WeMidwives
26 July 2016 20:26
@QuashieMichelle @CharleneSTMW don't forget #wemidwives ????
@MidwifeTiz
26 July 2016 20:26
NEXT Practice move toward considering intact cord to be part of resuscitation itself. #WeMidwives @optimalclamping @drtraceyc @CharleneSTMW
@charlMidwife
26 July 2016 20:27
@sally5881 @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 would love it to be soon - educating women crucial #wemidwives
@Sally5881
26 July 2016 20:27
@CharleneSTMW @midwife_jane @optimalclamping @SagefemmeSB can't speak highly enough of Amanda's presentation & @bloodtobaby info #wemidwives
@SarahCurtis2000
26 July 2016 20:27
RT @CharleneSTMW: @midwife_jane @i_mcdermott @GEHMaternity #wemidwives frustrating as if it is at mother's request, easier to advocate for…
@charlMidwife
26 July 2016 20:27
@bloodtobaby @optimalclamping @drtraceyc #wemidwives evidence for cutting cord for rescusitation?
@SarahCurtis2000
26 July 2016 20:28
RT @MumbaiMidwife: @midwife_jane @SagefemmeSB @WeMidwives probs in India Massive market for stem cell banking :( #wemidwives change is here…
@Sally5881
26 July 2016 20:28
@CharleneSTMW @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 #slowlyslowlycatchymonkey ?? #wemidwives
@Sally5881
26 July 2016 20:28
RT @bloodtobaby: NEXT Practice move toward considering intact cord to be part of resuscitation itself. #WeMidwives @optimalclamping @drtrac…
@charlMidwife
26 July 2016 20:28
@sally5881 @midwife_jane @optimalclamping @SagefemmeSB @bloodtobaby it would be fantastic, I will DM you later! #wemidwives
@SarahCurtis2000
26 July 2016 20:29
@optimalclamping @bloodtobaby @CharleneSTMW Cord donation makes no sense to me when blood so beneficial for baby #wemidwives
@MumbaiMidwife
26 July 2016 20:29
@CharleneSTMW @midwife_jane @SagefemmeSB @WeMidwives pvt hosp opt 4 stem cells. Gov hospitals immed clamp = need a revolution #wemidwives
@charlMidwife
26 July 2016 20:29
@midwife_jane @SagefemmeSB @WeMidwives @GEHMaternity what is policy regarding rescusitation #wemidwives
@JonathanCliffe8
26 July 2016 20:29
@WeMidwives @WeDocs @QuashieMichelle - we have MW to scrub wth sterile towel to keep baby warm! #WeMidwives
@Sally5881
26 July 2016 20:29
@bloodtobaby @optimalclamping @drtraceyc @CharleneSTMW have done this once recently 5 successful inflation breaths babe on Mum #wemidwives
@WeMidwives
26 July 2016 20:30
RT @bloodtobaby: NEXT Practice move toward considering intact cord to be part of resuscitation itself. #WeMidwives @optimalclamping @drtrac…
@charlMidwife
26 July 2016 20:30
@SarahCurtis2000 @optimalclamping @bloodtobaby #wemidwives exactly - baby needs the blood!
@WeMidwives
26 July 2016 20:30
RT @CharleneSTMW: @bloodtobaby @optimalclamping @drtraceyc #wemidwives evidence for cutting cord for rescusitation?
@WeMidwives
26 July 2016 20:30
RT @sally5881: @CharleneSTMW @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 #slowlyslowlycatchymonkey ?? #wemidwives
@charlMidwife
26 July 2016 20:31
@sally5881 @bloodtobaby @optimalclamping @drtraceyc #wemidwives with cord still unclamped?
@WeMidwives
26 July 2016 20:31
RT @CharleneSTMW: @midwife_jane @SagefemmeSB @WeMidwives @GEHMaternity what is policy regarding rescusitation #wemidwives
@WeMidwives
26 July 2016 20:31
RT @JonathanCliffe8: @WeMidwives @WeDocs @QuashieMichelle - we have MW to scrub wth sterile towel to keep baby warm! #WeMidwives
@WeMidwives
26 July 2016 20:31
RT @CharleneSTMW: @SarahCurtis2000 @optimalclamping @bloodtobaby #wemidwives exactly - baby needs the blood!
@SarahCurtis2000
26 July 2016 20:32
RT @bloodtobaby: NEXT Practice move toward considering intact cord to be part of resuscitation itself. #WeMidwives @optimalclamping @drtrac…
@Sally5881
26 July 2016 20:32
@bloodtobaby @optimalclamping @drtraceyc @CharleneSTMW felt more humane,safer at home (knees were knocking though) #OCC #wemidwives not prem
@SarahCurtis2000
26 July 2016 20:32
RT @CharleneSTMW: @sally5881 @bloodtobaby @optimalclamping @drtraceyc #wemidwives with cord still unclamped?
@charlMidwife
26 July 2016 20:32
#wemidwives as students do you ever feel confident to speak up regarding OCC during labour
@DeirdreMunro
26 July 2016 20:32
RT @optimalclamping: @SarahCurtis2000 @bloodtobaby @CharleneSTMW #waitforwhite until pulsation completed + cord white #wemidwives
@Sally5881
26 July 2016 20:32
RT @CharleneSTMW: @SarahCurtis2000 @optimalclamping @bloodtobaby #wemidwives exactly - baby needs the blood!
@QuashieMichelle
26 July 2016 20:33
@JonathanCliffe8 @WeMidwives @WeDocs ?? Scrubbing a new born? Surely skin to skin best option? ??#WeMidwives
@optimalclamping
26 July 2016 20:33
RT @CharleneSTMW: @SarahCurtis2000 @optimalclamping @bloodtobaby #wemidwives exactly - baby needs the blood!
@charlMidwife
26 July 2016 20:34
@sally5881 @bloodtobaby @optimalclamping @drtraceyc #wemidwives anyone have such experience of OCC at home births?
@charlMidwife
26 July 2016 20:34
@QuashieMichelle @JonathanCliffe8 @WeMidwives @WeDocs #wemidwives skin to skin and OCC go hand in hand - nature's way?
@optimalclamping
26 July 2016 20:34
@CharleneSTMW @sally5881 @bloodtobaby @drtraceyc Most occ at home deliveries. #WeMidwives
@charlMidwife
26 July 2016 20:35
@optimalclamping @sally5881 @bloodtobaby @drtraceyc #wemidwives calmer environment
@MidwifeTiz
26 July 2016 20:35
Brilliant vid here -Gentle caesarean include DCC #WeMidwives https://my.storygami.com/embed/64a638cb31e @JackieMoulla @JennytheM @optimalclamping @CharleneSTMW
@JonathanCliffe8
26 July 2016 20:35
@QuashieMichelle @WeMidwives @WeDocs - MW scrubs to bring baby from surgeons to mum... To facilitate skin to skin... #WeMidwives
@MumbaiMidwife
26 July 2016 20:36
@CharleneSTMW @bloodtobaby @optimalclamping what about milking the cord for prem babies/ Cesarean? #WeMidwives
@SarahCurtis2000
26 July 2016 20:36
@CharleneSTMW I can't say it went down well. Hard to do sensitively (undermines confidence?) Hard when practice differs so much #wemidwives
@optimalclamping
26 July 2016 20:37
Wansbeck say only policy necessary is for icc as this is the intervention???????????? #WeMidwives
@Sally5881
26 July 2016 20:37
@CharleneSTMW @bloodtobaby @optimalclamping @drtraceyc not all scary just the resus (to clarify ) ?? good apgar = #waitforwhite #wemidwives
@SarahCurtis2000
26 July 2016 20:37
RT @CharleneSTMW: #wemidwives as students do you ever feel confident to speak up regarding OCC during labour
@charlMidwife
26 July 2016 20:37
RT @bloodtobaby: Brilliant vid here -Gentle caesarean include DCC #WeMidwives https://my.storygami.com/embed/64a638cb31e @JackieMoulla @JennytheM @optimalclam…
@Sally5881
26 July 2016 20:37
RT @optimalclamping: Wansbeck say only policy necessary is for icc as this is the intervention???????????? #WeMidwives
@charlMidwife
26 July 2016 20:37
@bloodtobaby @JackieMoulla @JennytheM @optimalclamping saw this earlier amazing #wemidwives
@Sally5881
26 July 2016 20:38
RT @bloodtobaby: Brilliant vid here -Gentle caesarean include DCC #WeMidwives https://my.storygami.com/embed/64a638cb31e @JackieMoulla @JennytheM @optimalclam…
@optimalclamping
26 July 2016 20:38
RT @bloodtobaby: Brilliant vid here -Gentle caesarean include DCC #WeMidwives https://my.storygami.com/embed/64a638cb31e @JackieMoulla @JennytheM @optimalclam…
@charlMidwife
26 July 2016 20:38
@SarahCurtis2000 @bloodtobaby @optimalclamping 3 mins is optimal I think #wemidwives
@optimalclamping
26 July 2016 20:38
RT @CharleneSTMW: @bloodtobaby @JackieMoulla @JennytheM @optimalclamping saw this earlier amazing #wemidwives
@SarahCurtis2000
26 July 2016 20:38
RT @CharleneSTMW: @SarahCurtis2000 @bloodtobaby @optimalclamping 3 mins is optimal I think #wemidwives
@SarahCurtis2000
26 July 2016 20:39
RT @QuashieMichelle: @JonathanCliffe8 @WeMidwives @WeDocs ?? Scrubbing a new born? Surely skin to skin best option? ??#WeMidwives
@drtraceyc
26 July 2016 20:39
RT @bloodtobaby: NEXT Practice move toward considering intact cord to be part of resuscitation itself. #WeMidwives @optimalclamping @drtrac…
@Sally5881
26 July 2016 20:39
@CharleneSTMW @bloodtobaby @optimalclamping @drtraceyc so important to parents & physiology/ transition #OCC #wemidwives not easy but 2 MW's
@optimalclamping
26 July 2016 20:40
@CharleneSTMW @SarahCurtis2000 @bloodtobaby #Wemidwives https://t.co/qATnBacKv2
@charlMidwife
26 July 2016 20:40
@SarahCurtis2000 difficult to speak up, but easier if woman informed - AN education so important #wemidwives
@MumbaiMidwife
26 July 2016 20:40
@optimalclamping @CharleneSTMW @bloodtobaby no midwives in India as u practice in UK.They all think I'm nuts! #OCC #skintiskin #WeMidwives
@charlMidwife
26 July 2016 20:41
@optimalclamping @SarahCurtis2000 @bloodtobaby #wemidwives this needs to be shown to all pregnant women! AN education so important
@BRWells
26 July 2016 20:41
RT @bloodtobaby: Brilliant vid here -Gentle caesarean include DCC #WeMidwives https://my.storygami.com/embed/64a638cb31e @JackieMoulla @JennytheM @optimalclam…
@drtraceyc
26 July 2016 20:41
RT @CharleneSTMW: @sally5881 @bloodtobaby @optimalclamping @drtraceyc #wemidwives with cord still unclamped?
@Sally5881
26 July 2016 20:42
@drtraceyc @bloodtobaby @optimalclamping @CharleneSTMW definitely feels safer than breaking that lifeline #wemidwives ??
@Sally5881
26 July 2016 20:42
RT @optimalclamping: @CharleneSTMW @SarahCurtis2000 @bloodtobaby #Wemidwives https://t.co/qATnBacKv2
@SarahCurtis2000
26 July 2016 20:42
@CharleneSTMW True. Informed mothers often the best advocates for change! #wemidwives
@MidwifeTiz
26 July 2016 20:42
Mustn't forget potential law suits if not evidence based practice - MUST OCC! There are sharks waiting..#wemidwives https://t.co/JmDZuq4oTZ
@SarahCurtis2000
26 July 2016 20:43
RT @optimalclamping: @CharleneSTMW @SarahCurtis2000 @bloodtobaby #Wemidwives https://t.co/qATnBacKv2
@charlMidwife
26 July 2016 20:43
@optimalclamping @SarahCurtis2000 @bloodtobaby can it be incorporated into AN routine appointments / discussion of birthplace? #wemidwives
@drtraceyc
26 July 2016 20:43
RT @sally5881: @drtraceyc @bloodtobaby @optimalclamping @CharleneSTMW definitely feels safer than breaking that lifeline #wemidwives ??
@drtraceyc
26 July 2016 20:43
RT @sally5881: @CharleneSTMW @bloodtobaby @optimalclamping @drtraceyc so important to parents & physiology/ transition #OCC #wemidwives not…
@WeMidwives
26 July 2016 20:44
RT @QuashieMichelle: @JonathanCliffe8 @WeMidwives @WeDocs ?? Scrubbing a new born? Surely skin to skin best option? ??#WeMidwives
@WeMidwives
26 July 2016 20:44
RT @CharleneSTMW: @QuashieMichelle @JonathanCliffe8 @WeMidwives @WeDocs #wemidwives skin to skin and OCC go hand in hand - nature's way?
@charlMidwife
26 July 2016 20:44
@bloodtobaby leads to defensive practice - the fear!! #wemidwives
@MumbaiMidwife
26 July 2016 20:44
RT @sally5881: @drtraceyc @bloodtobaby @optimalclamping @CharleneSTMW definitely feels safer than breaking that lifeline #wemidwives ??
@JonathanCliffe8
26 July 2016 20:44
@drtraceyc @sally5881 @bloodtobaby @optimalclamping - keeping cord intact.. Supplying oxygenated blood.. #MakesSense ? #WeMidwives
@optimalclamping
26 July 2016 20:45
RT @sally5881: @CharleneSTMW @SagefemmeSB @WeMidwives @alibrodrick @allyclare1 @LindsayHobbs51 #slowlyslowlycatchymonkey ?? #wemidwives
@optimalclamping
26 July 2016 20:46
RT @midwife_jane: @SagefemmeSB @WeMidwives all positive at @GEHMaternity fully support #waitforwhite and MDT willing to support #wemidwives
@charlMidwife
26 July 2016 20:46
@JonathanCliffe8 @drtraceyc @sally5881 @bloodtobaby @optimalclamping increasing iron levels, increasing weight #wemidwives
@optimalclamping
26 July 2016 20:46
RT @CharleneSTMW: @JonathanCliffe8 @drtraceyc @sally5881 @bloodtobaby @optimalclamping increasing iron levels, increasing weight #wemidwives
@Sally5881
26 July 2016 20:46
RT @CharleneSTMW: @JonathanCliffe8 @drtraceyc @sally5881 @bloodtobaby @optimalclamping increasing iron levels, increasing weight #wemidwives
@drtraceyc
26 July 2016 20:46
RT @CharleneSTMW: @JonathanCliffe8 @drtraceyc @sally5881 @bloodtobaby @optimalclamping increasing iron levels, increasing weight #wemidwives
@charlMidwife
26 July 2016 20:47
@JonathanCliffe8 @drtraceyc @sally5881 @bloodtobaby @optimalclamping you can see the baby's perfusion increasing #wemidwives
@MumbaiMidwife
26 July 2016 20:47
Is Lotus birth common? One of our HB families shared pics + I did cord burning 1st time https://www.facebook.com/natural.water.birth/photos/pb.1728019900752610.-2207520000.1469562242./1728155724072361/?type=3&theater @CharleneSTMW #WeMidwives
@MidwifeTiz
26 July 2016 20:48
RT @CharleneSTMW: @JonathanCliffe8 @drtraceyc @sally5881 @bloodtobaby @optimalclamping increasing iron levels, increasing weight #wemidwives
@charlMidwife
26 July 2016 20:49
@MumbaiMidwife I haven't seen it, but keeping the placenta seems to be more common - encapsulation and burying it common #wemidwives
@charlMidwife
26 July 2016 20:50
@bloodtobaby @optimalclamping OCC varies from trust to trust, what about Scotland / Wales / NI? #wemidwives
@charlMidwife
26 July 2016 20:51
@sally5881 @WeMidwives @SagefemmeSB @alibrodrick @allyclare1 @LindsayHobbs51 I read about this - great idea I might suggest it! #wemidwives
@Sally5881
26 July 2016 20:52
@CharleneSTMW @WeMidwives @SagefemmeSB @alibrodrick @allyclare1 @LindsayHobbs51 healthy competition = #OCC #wemidwives
@charlMidwife
26 July 2016 20:53
@sally5881 @WeMidwives @SagefemmeSB @alibrodrick @allyclare1 @LindsayHobbs51 alway helps if a bit of fun involved #wemidwives
@WeMidwives
26 July 2016 20:53
RT @sally5881: @CharleneSTMW @WeMidwives @SagefemmeSB @alibrodrick @allyclare1 @LindsayHobbs51 healthy competition = #OCC #wemidwives
@optimalclamping
26 July 2016 20:53
RT @bloodtobaby: NEXT Practice move toward considering intact cord to be part of resuscitation itself. #WeMidwives @optimalclamping @drtrac…
@MumbaiMidwife
26 July 2016 20:53
@optimalclamping @CharleneSTMW @sally5881 @bloodtobaby @drtraceyc Same here #wemidwives
@MidwifeTiz
26 July 2016 20:53
Happy pics - raise awareness #bloodtobaby #waitforwhite #worldwide @optimalclamping #wemidwives https://t.co/4nTUv2x4im
@Sally5881
26 July 2016 20:54
RT @MumbaiMidwife: @optimalclamping @CharleneSTMW @sally5881 @bloodtobaby @drtraceyc Same here #wemidwives
@MichaelaA_NQM
26 July 2016 20:54
I always try and slip it into our birth chats antenatally, I find as a student you can get away with dropping things in! #wemidwives
@WeMidwives
26 July 2016 20:54
Thank you for a wonderful chat @CharleneSTMW and @bloodtobaby it has been a hive of activity tonight! Well done ???? #wemidwives
@Sally5881
26 July 2016 20:54
RT @bloodtobaby: Happy pics - raise awareness #bloodtobaby #waitforwhite #worldwide @optimalclamping #wemidwives https://t.co/4nTUv2x4im
@optimalclamping
26 July 2016 20:55
RT @bloodtobaby: Happy pics - raise awareness #bloodtobaby #waitforwhite #worldwide @optimalclamping #wemidwives https://t.co/4nTUv2x4im
@drtraceyc
26 July 2016 20:55
RT @MumbaiMidwife: @optimalclamping @CharleneSTMW @sally5881 @bloodtobaby @drtraceyc Same here #wemidwives
@charlMidwife
26 July 2016 20:55
@bloodtobaby @optimalclamping hannah you're a real inspiration! Hopefully Amanda will come and inspire us all in cov! #wemidwives
@MidwifeTiz
26 July 2016 20:56
@optimalclamping @CharleneSTMW Maybe staff sticking 2 what know best,unsupported if they do something "different" even evidence? #WeMidwives
@charlMidwife
26 July 2016 20:56
@StMwMichaelaA you're right, everyone is a bit more forgiving if you're a student #wemidwives
@MumbaiMidwife
26 July 2016 20:56
@optimalclamping @bloodtobaby @SagefemmeSB @CharleneSTMW have you seen this? http://birthwellbirthright.com/private-cord-blood-banks-ultimate-insurance-ultimate-marketing-ploy/ #wemidwives Helps us with #OCC
@sheena_byrom
26 July 2016 20:57
RT @MumbaiMidwife: @optimalclamping @bloodtobaby @SagefemmeSB @CharleneSTMW have you seen this? http://birthwellbirthright.com/private-cord-blood-banks-ultimate-insurance-ultimate-marketing-ploy/ #wemidwives Helps u…
@MumbaiMidwife
26 July 2016 20:57
@CharleneSTMW @optimalclamping @sally5881 @bloodtobaby @drtraceyc 30 in 8 years so not many but lots of love there :) #wemidwives
@charlMidwife
26 July 2016 20:57
@WeMidwives @sally5881 @SagefemmeSB @alibrodrick @allyclare1 @LindsayHobbs51 TY for the contribution everyone xx #wemidwives
@sheena_byrom
26 July 2016 20:58
RT @sally5881: @CharleneSTMW @WeMidwives @SagefemmeSB @alibrodrick @allyclare1 @LindsayHobbs51 healthy competition = #OCC #wemidwives
@Sally5881
26 July 2016 20:59
RT @CharleneSTMW: @bloodtobaby @optimalclamping OCC varies from trust to trust, what about Scotland / Wales / NI? #wemidwives




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