delayed cord clamping & jaundice

[MonkeyChicken]

DC2 is due 11 August and I've been going through my birth preferences with my Doula.

DD1 was a forceps delivery. I also had a heamorage so had managed 3rd stage with immediate cord clamping. DD1 developed severe jaundice due to AOB blood incompatibility and was admitted to special care at 16 hours old until she was 4 days old.

My Doula was asking what I wanted to do during my 3rd stage with DC2. Should I opt for immediate cord clamping on my birth preferences given that delayed cord clamping is link to increased risk of jaundice or do I opt for the more definate benefits of delayed cord clamping and risk the jaundice? I REALLY do not want another spell in special care. Apart from all the obvious bits about being separted from my baby I also now have DD1 to consider especially since DH is unable to take any time off work until 20 Aug, but the likilhood of DC2 getting jaundice is slim.

Hmmmmm.... opinions please. Thanks. x

Maybe this will be useful?
www.homebirth.org.uk/thirdstage.htm
e.g. this bit:
The Journal of American Medical Association published a meta-analysis of early versus late cord clamping in full-term newborns, which you can read in full here:
jama.ama-assn.org/cgi/reprint/297/11/1241

They found that there was no increase in the incidence of clinical jaundice or need for phototherapy with 'late' cord clamping, although there was some increase in neonoatal polycythaemia. In the higher-quality studies this association did not reach statistical significance.

What they DID find was that late clamping was associated with better iron status, as measured by serum ferritin levels, to six months and beyond, and also with less anaemia in the newborn periods. The babies who were breastfed and who experienced 'late' cord clamping had proportionately higher iron stores at six months than the babies who were no longer breastfed.