What does a first aider do with the umbilical cord?

When dealing with childbirth in a first aid situation, it's crucial to handle the umbilical cord carefully to prevent complications and infection. Here's what a first aider should do with the umbilical cord:

Do not cut the umbilical cord immediately: Contrary to popular belief, the umbilical cord should not be cut right away. It contains oxygenated blood that supplies the newborn until the placental circulation stops and the baby's respiratory system takes over.

Clamp the umbilical cord: Use two sterile clamps about 2-3 inches apart on the umbilical cord, closer to the mother's abdomen. This prevents rapid blood loss from the baby to the placenta.

Tie the umbilical cord: About an inch or two beyond the second clamp, use sterile string or umbilical cord tape to securely tie the cord in a double knot. Make sure the knot is tight to prevent bleeding.

Wait for the cord to detach (Optional): If time and circumstances allow, it's best to wait for the umbilical cord to detach naturally. This usually happens within 1-2 weeks as the cord dries up and separates. Some cultures practice "delayed cord clamping" for the benefits it brings to the newborn.

_Note: Sterile materials are crucial to avoid infections while handling the umbilical cord. If sterile clamps and a sterile string are not immediately available, it's best to leave the cord uncut until medical help arrives. Use clean cloths to prevent contamination until medical assistance can be obtained._