National Institute of Clinical Excellence  : Implement Delayed Cord Clamping Immediately
  • Petitioning Jane Cummings

This petition will be delivered to:

Department of Health, Chief Nursing Officer
Jane Cummings
NICE Sir Andrew Dillon
NICE National Institute ofClinical Excellence
Chief Executive Royal College of Midwives
Professor Cathy Warwick CBE
Diabetes UK
Chief Executive Officer
National Autistic Society
Chief Executive Officer
UK Anaemia
Dr Ivor Cavill
Telegraph News Journalist
Celia Walden
Sunday Telegraph
Journalist
Professor Gillian Leng CBE
Department of Health Chief Officer
Dame Sally Davies
National Childbirth Trust
Chief executive Officer

National Institute of Clinical Excellence : Implement Delayed Cord Clamping Immediately

    1. amanda burleigh
    2. Petition by

      amanda burleigh

      leeds, United Kingdom

As part of a growing global network, I would like to campaign to lobby the  National Institute of Clinical Excellence to change the Current Guidelines which recommend Immediate Cord Clamping (NON evidence based practice, proven to be detrimental to babies and normally performed before baby has breathed) to recommend Delayed Cord Clamping for at least 3-5 minutes, but ideally until the cord stops pulsating. (Beneficial evidence based practice)

NICE recommendations are based on the best available evidence of the most effective care.

NICE have formally informed me that they won't publish new guidelines until November 2014, despite mounting evidence to prove that Immediate Cord Clamping can be deterimental to babies.

Immediate Cord Clamping of the Umbilical Cord is practised in many hospitals.

This has consequences.

Research has shown that Immediate Cord Clamping deprives the baby of up to 40% of its intended blood supply. Reasearch by Farrar, Duley et al shows that leaving the cord intact leads to a weight gain of up to 210g in the five minutes following birth. The blood that the baby is deprived of contains Stem cells, Blood cells and other natural hormones, intended to complete the birth process.

Immediate Cord Clamping is a major risk factor for anaemia in newborns. Research studies by Van Rheenan, Andersson/Brabin and Mercer have shown that Immediate Cord Clamping leads to long term anaemia which impedes learning and development.
Hospitals throughout the Western world have been practising Immediate Cord Clamping for 40-50 years and are now well into second generation cord clamping. 

We lack the knowledge about the consequences of Immediate Cord Clamping, but there is NO evidence to support Immediate Cord Clamping as routine practice.

Patience is the only thing that is needed to leave the cord intact.

World Health Organisation, UNICEF, International Confederation of Midwives, Royal College of Obstetricians and Gynaecologists and Royal College of Midwives all support Delayed Cord Clamping.

Immediate Cord Clamping needs stopping immediately.

Common sense must prevail.

Recent signatures

    News

    1. NICE publish Draft guidelines DCC for at least one minute

      amanda burleigh
      Petition Organizer

      New Draft NICE Guidelines recommending that in active management, all cords should be left intact for at least one minute but clamped before 5 minutes unless parents request otherwise. Not perfect but a huge improvement.
      • After administering oxytocin, clamp and cut the cord: Do not clamp the cord earlier than 1 minute from the birth of the baby unless there is concern about the integrity of the cord or the baby has a heartbeat below 60 beats/minute that is not getting faster. Clamp the cord before 5 minutes in order to perform controlled cord traction as part of active management. If the woman requests that the cord is clamped and cut later than 5 minutes, support her in her choice. [1.14.11] [new 2014]

      Not perfect but wonderful all the same :-)

    2. 5000 signatures reached. British Journal of Midwifery recognise the importa

      amanda burleigh
      Petition Organizer

      We made it to 5000 signatures, thank you everyone for your support. Let's keep spreading the word and one day we hope that every baby has the chance of reaching it's potential because they will have adequate iron stores during the vital time of early neurological development.

      The petition has been signed by people in over 50 different countries. Many of the comments are very profound and illustrate the simplicity and the importance of keeping the umbilical cord intact until transition to life outside the uterus has occurred.

      British Journal of Midwifery recognise the importance of the work on Delayed Cord Clamping by awarding Amanda Burleigh third prize in Midwife of the Year category.

    3. Reached 5,000 signatures
    4. More wisdom from Robin Lim.

      amanda burleigh
      Petition Organizer

      The baby’s heart will continue to circulate blood to the placenta...until vasospasm begins in the umbilical arteries within 20-25 seconds.

      After birth the baby’s heart will continue to circulate blood to the placenta and back, until gas exchange within the baby’s lungs results in a rise in umbilical artery PO2 and production of bradykinins (potent vasoconstrictors of the umbilical vessels) (Standring, 2005; Gray’s Anatomy; cited by Hutchon, 2012).

      By clamping the umbilical vein or arteries at various time points after birth, Yao et al found that blood flow through the umbilical arteries began to cease by 20-25 s after birth (Yao & Lind, 1974).

      (Vasospasm within 20s is rapid enough that the term “eventually” used in this article is inaccurate and misleading.)

      In contrast, blood flow from the placenta has been shown to continue, via the umbilical vein, for approximately 2 to 5 minutes after birth along with uterine contractions (Yao & Lind, 1974; Farrar et al, 2010).

    5. Coronatio Street educates viewers on leaving the cord intact.

      amanda burleigh
      Petition Organizer

      Coronation Street. "Don't cut the cord, we need to leave it alone" David Platt.
      Yay and double yay

    6. Robin Limm's statement to support Delayed Cord Clamping as a human right.

      amanda burleigh
      Petition Organizer

      Robin Lim As a midwife on a team in Indonesia, we have delivered over 5,000 babies, ALL had delayed cord clamping and cutting. There was never once an adverse side effect from the long delay (normally 3 hours or more). I feel this is why we can boast a 100% breastfeeding rate, our babies are simply brighter. Blood contains oxygen and iron = Health and Intelligence. You cannot talk to me about UNMDG #4, and continue to rob babies of up to 1/3 of their full blood supply which includes stem cells. Allowing the smallest citizens of our world to have their FULL blood supply, is a Human Right. Thank YOU ~ Robin Lim CPM executive director Bumi Sehat Foundation, Bali & Aceh, Indonesia.

    7. RCM supports Delayed Cord Clamping by 1-3 minutes.

      amanda burleigh
      Petition Organizer

      Press Release
      RCM supports delayed cord clamping

      Commenting on research to be published tomorrow (Thursday, 11th July 2013) by the Cochrane Library on delaying of cord clamping, Louise Silverton, director for midwifery at the Royal College of Midwives, said: “This is welcome research that is adding to the increasing body of evidence for delayed cord clamping which the RCM supports.

      “This and other evidence is suggesting that delayed clamping of the cord is overall beneficial to the baby. It is estimated that this normally would be between one to three minutes, though more research needs to be done to determine the optimum time for this. We would also stress that midwives will need time in the postnatal period to detect jaundice in the newborn which may occur as a result of delayed clamping”

      For further information please contact the RCM Press Office on 020 7312 3456, [email protected]

    8. Reached 3,000 signatures
    9. Belinda Phipps NCT offering support

      amanda burleigh
      Petition Organizer

      One of NCT's key aims is to ensure that women can access high quality, research-based information to enable them to make informed decisions about care for them and their babies and for that care to be available to them. The research on optimal cord clamping is is very clearly supportive of delaying clamping the umbilical cord until the baby has received its full blood volume, and so NCT are supporting the campaign for NICE to recommend delayed cord clamping as standard practice for all births.
      Belinda Phipps, NCT Chief Executive

    10. No News from NICE

      amanda burleigh
      Petition Organizer

      No news from NICE. I am awaiting a response to letters sent on the 11th December 2012.

    11. Reached 2,500 signatures
    12. NCT support. Leeds re-implement Immediate Cord Clamping. No news from NICE.

      amanda burleigh
      Petition Organizer

      Belinda Phipps Chief Executive of the National Childbirth Trust has expressed support for the petition and stattes the NCT have been advocating delayed cord clamping for years.
      Leeds Trust have suspended Delayed Cord Clamping and are again implementing Immediate Cord Clamping for all babies unless the parents request otherwise. This was implemented at the beginning of November after the RCM guidelines were released. They have concerns re polycythaemia and jaundice and also confusion at management of the timing of Oxytocin and Cord Clamping.
      This is clarification that NICE really needs to get clear guidelines out
      No new word from NICE.

    13. Reached 1,500 signatures
    14. NICE Acknowledge petition but no change

      amanda burleigh
      Petition Organizer

      NICE have acknowledged the petition but there is no change to the dates for the intended review and publication of new Intra-partum guidelines, which is set for late 2014.
      Thank you everybody for all the signatures and comments which illustrate clearly that growing numbers of people around the world feel that Immediate Cord Clamping is unnecessary, deterimental and needs to stop immediately.
      I am able to direct target email to other authorities. If anybody has any suggestions for useful contacts please contact me.
      We need to keep going. Please sign and share. Thank you.

    15. Reached 1,000 signatures
    16. National Institute of Clinical Excellence

      amanda burleigh
      Petition Organizer

      NICE develop their guidance and other products by working with experts from the NHS, local authorities, and others in the public, private and voluntary sectors - including patients and the public.

      NICE recommendations are based on the best available evidence of the most effective care. NICE guidance is produced openly and transparently, and we make sure that those that use our guidance, as well as those it affects, are involved every step of the way.

      If we succeed in getting NICE to change their guidelines, this will help campaigners for implementing delayed cord clamping in other countries a stronger voice, therefore this is a global campaign and not just confined to the UK.

    17. Reached 100 signatures

    Supporters

    Reasons for signing

    • carolyn voysey SWANLEY, UNITED KINGDOM
      • 4 days ago

      Guidelines which we are encouraged to follow in our every pracitice are supposed to be up to date and evidenced based. Our practice is changing, and NICE guidelines should be updated to reflect this.

      REPORT THIS COMMENT:
    • Kate Simpson WHITEHEAD, UNITED KINGDOM
      • 4 days ago

      I am utterly convinced the inclusion of delayed cord clamping MUST be included in NICE guidelines. The benefits of delaying clamping for even a matter of minutes, are amazing, and should not interfere with the time pressure hospitals are under.

      REPORT THIS COMMENT:
    • Lorie Olds AUSTRALIA
      • 6 days ago

      This is important because delayed cord clamping has major benefits to baby in the short and long term.

      REPORT THIS COMMENT:
    • Anushka Hickey DUBLIN, IRELAND
      • 10 days ago

      It's important to me because I believe in best practice for mothers and babies.

      REPORT THIS COMMENT:
    • annie hogan ROTORUA, NEW ZEALAND
      • 10 days ago

      the blood belongs to the baby!

      REPORT THIS COMMENT:

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