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Dear Mercer In Japan the umbilical cord is usually clamped and cut immediately after birth. In my college midwifery program I was taught as such. I had thought the method was self-evident until I met a wonderful midwife and knew her sensitive midwifery care. She clamped it after pulsating stopped. My idea is that the more homelike the care is,the less early clamping is. So consequently many hospitals have a early clamping routine. And in the case of no midwife doctors clamp the cord. Of course they do it immediately! Best wishes Chiemi ************************************** Chiemi Ashida, Midwife Aizenbashi Hospital 3-1-11 Nihonbashihigashi Naniwaku Osaka 556-0006 Japan e-mail: [log in to unmask] Tel: +81-6633-2801 Fax: +81-6634-3180 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%