Umbilical Cord Nonseverance and Adverse Neonatal Outcomes

Ittleman, Benjamin R.; German, Kendell; Scott, Emily; Walker, Valencia P.; Flaherman, Valerie J.; Szabo, Joanne S; Beavers, Jessica

doi:10.1177/0009922818805243

Cited by 5 publications

(9 citation statements)

References 5 publications

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“…In contrast, 4 adverse outcomes were reported by Tricarico et al and Ittleman et al . Tricarico et al described an out‐of‐hospital birth wherein the newborn was admitted shortly after birth because of jaundice, which improved with cord separation and phototherapy.…”

Section: Clinical Outcomes Associated With Lotus Birthmentioning

confidence: 99%

“…The tachycardia resolved after the initial dose of antibiotics, and the hyperbilirubinemia resolved after breastfeeding and phototherapy. The third newborn developed neonatal omphalitis, which was initially expectantly managed with umbilical cord severance, until worsening symptoms developed, then antibiotics were administered for 7 days …”

Section: Clinical Outcomes Associated With Lotus Birthmentioning

confidence: 99%

“…The umbilical tissue is substrate rich, and when devitalized, it is prone to bacterial colonization. Such colonization can come from either the maternal genital tract or from the environment soon after birth . Any resulting cord infections can delay or prevent the normal process of umbilical vessel deterioration and separation, thus allowing bacteria direct access to the newborn circulation …”

Section: Neonatal Omphalitismentioning

confidence: 99%

“…Lotus birth, or umbilical nonseverance, is the practice whereby the umbilical cord is not cut from the placenta following birth but is, instead, allowed to dry and fall off on its own . There is limited and conflicting information about the safety of lotus births . Omphalitis is a localized infection of the umbilicus primarily affecting neonates.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 There is limited and conflicting information about the safety of lotus births. [3][4][5][6] Omphalitis is a localized infection of the umbilicus primarily affecting neonates. Although complications of omphalitis are rare, they can be devastating, primarily in developing nations where access to treatment is not always readily available.…”

Section: Introductionmentioning

confidence: 99%

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Neonatal Omphalitis After Lotus Birth

Steer-Massaro

2020

J Midwife Womens Health

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Lotus birth, or umbilical nonseverance, is the practice wherein the umbilical cord is not separated from the placenta after birth, but allowed instead to dry and fall off on its own. Lotus birth may result in neonatal omphalitis. This article describes the history and rationale for lotus birth as well as the etiology, incidence, clinical presentation, and management of neonatal omphalitis. Recommendations for educating families how to perform lotus birth safely are presented. Additionally, signs and symptoms that warrant newborn assessment and treatment are reviewed.

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Section: Clinical Outcomes Associated With Lotus Birthmentioning

confidence: 99%

Section: Clinical Outcomes Associated With Lotus Birthmentioning

confidence: 99%

Section: Neonatal Omphalitismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Neonatal Omphalitis After Lotus Birth

Steer-Massaro

2020

J Midwife Womens Health

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The Term Newborn

Leff

Loyal

2021

Clinics in Perinatology

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Alternative Birth Plans and Unintended Maternal and Neonatal Consequences: A Review of the Literature

Whittington

Rumpel²,

Shnaekel³

et al. 2020

Obstetrical &Amp; Gynecological Survey

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Importance Birth plans are an important part of childbirth preparation for many women. Objective The aim of this review was to discuss some common requests, specifically home birth, water birth, placentophagy, lotus birth, vaccination refusal, and vaginal seeding, including evidence-based recommendations, perceived benefits, and potential maternal and neonatal consequences. Evidence Acquisition A literature search for each topic was undertaken using PubMed and Web of Science. For the home birth section, the MeSH terms home AND birth OR childbirth AND outcomes OR complications OR recommendations OR guidelines were used. For the vaccination section, birth OR childbirth OR maternal AND vaccination refusal were searched. For the remainder of the sections, umbilical cord AND nonseverance OR placentophagy OR vaginal seeding OR lotus birth were searched. A total of 523 articles were identified. The abstracts were reviewed by 2 authors (J.R.W. and J.A.R.); 60 of these articles were selected and used for this review. Results Home birth is currently not recommended in the United States. Immersion in water for labor is acceptable, but delivery should not occur in water. Placentophagy and lotus birth should be discouraged because of risk of neonatal infection. Vaccines should be administered in accordance with national guidelines. Vaginal seeding should be discouraged until more is known about the practice. Conclusion and Relevance These evidence-based recommendations provide clear guidance for physicians so that the birthing experience can be enhanced for both mother and neonate without compromising safety. Relevance Statement This is an evidence-based literature review of alternative birth plans and recommendations for directive counseling. Target Audience Obstetricians, midwives, family practitioners, pediatricians, and nurse practitioners who provide obstetric and/or pediatric care. Learning Objectives After completing this activity, the learner should be better able to counsel patients on the risks and benefits of alternative birth plans; distinguish which maternal requests are associated with increased risk of neonatal infections; and risk stratify patients for home birth and identify absolute contraindications to home birth.

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Umbilical Cord Nonseverance and Adverse Neonatal Outcomes

Cited by 5 publications

References 5 publications

Neonatal Omphalitis After Lotus Birth

Neonatal Omphalitis After Lotus Birth

The Term Newborn

Alternative Birth Plans and Unintended Maternal and Neonatal Consequences: A Review of the Literature

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