Abstract
Having observed and photographed obstetrical techniques and practices on six continents in 1971, I am struck by the differing views of renowned physicians in the various developed and developing countries as to the relative merits of early and late clamping of the umbilical cord. While specialists in the Netherlands, a country with a low incidence of infant mortality essentially equivalent to that of Sweden, stress the importance of placental transfusion as a normal part of the physiological sequence of birth which lessens the likelihood of maternal hemorrhage and anemia in the growing child, Yao et al. in their recent paper published in the December 1971 issue of PEDIATRICS, suggest that placental transfusion causes "overloading" of the vascular bed and therefore should be avoided by early clamping.
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