Optimal cord clamping and meconium stained liquor

Twitter: @GeekFatimah

I am very pleased to introduce student Midwife Fatimah Mohamied. I am incredibly fortunate to have Fatimah join the BloodtoBaby team. Fatimah has previously been a clinical respiratory physiologist, she has a passion for women's health, spirituality and the environment. She is particularly interested in intact cord resuscitation and wishes to contribute to BloodtoBaby for the advancement of neonatal health, women's birth experience and nourishing family relationships.

A Reflection in Practice

Recently I assisted at the delivery of a child of a low risk women who chose to birth in a birth centre. Her beautiful baby made its entrance into the world by bringing copious amounts of meconium stained liquor along with it. The baby was rather rude in only introducing us to this meconium stained liquor at the point of delivery. I use the word 'stained' deliberately. The liquor was not the concentrated pasty consistency that is usually associated with thick meconium, but rather a dark green transparent status, like badly mixed water colour.

Being a student midwife, some will consider me arrogant in stating that I didn’t feel concerned. This feeling was not shared by the midwife present, who promptly clamped the cord as I enquired into the possibility of delayed cord clamping. The answer I received was a simple statement of "thick meconium", the midwife then cut the cord even though the child was breathing and had been breathing since the moment of birth.

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As I (perhaps annoyingly) mentioned - the baby was breathing, the midwife swift