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The Umbilical cord stump, left behind after omphalotomy. Omphalotomy is the medical procedure that involves the cutting of the umbilical cord after childbirth. [1] The word omphalotomy is derived from the prefix omphal(o)-, from the Ancient Greek word ὀμφαλός (omphalós), meaning navel, and the suffix-tomy, also from Ancient Greek, meaning incision.
Items are needed to clamp or tie the umbilical cord in two places. Shoestrings or strips of a sheet folded into narrow bands may be used. [17] These items can be sterilized by boiling (20 minutes) or soaking in alcohol (up to 3 hours). [17] Scissors or a knife are needed to cut the umbilical cord and may be sterilized with the same procedure. [17]
There are umbilical cord clamps which incorporate a knife. These clamps are safer and faster, allowing one to first apply the cord clamp and then cut the umbilical cord. After the cord is clamped and cut, the newborn wears a plastic clip on the navel area until the compressed region of the cord has dried and sealed sufficiently.
Controlled cord traction (CCT) consists of pulling on the umbilical cord while applying counter pressure to help deliver the placenta. [5] It may be uncomfortable for the mother. Its performance requires specific training. Premature cord traction can pull the placenta before it has naturally detached from the uterine wall, resulting in hemorrhage.
Finally, if the cord is too tight to slip back over the shoulders, one may use the somersault maneuver to allow the body to be delivered. [12] The birth attendant may also choose to clamp and cut the umbilical cord to allow for vaginal delivery if other methods of nuchal cord management are not feasible.
Before the obstetrical forceps, this had to be done by cutting the baby out piece by piece. In other cases, if the baby was deemed undeliverable, then the doctor would use a tool called a crochet. This was used to crush the baby's skull, allowing the baby to be pulled out of the mother's womb.
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Intact umbilicus one hour postpartum, an extended-delayed cord severance. Lotus birth (or umbilical cord nonseverance - UCNS) 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. [1] This usually occurs within 3–10 days after ...