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1925 - waiting for pulsations to cease
Gynecological and Obstetrical Society, Dicks (1925) promoted use of a clamp to prevent infection. He described his procedure as follows:
strength tincture of iodine and pulsation has ceased, the Martinez clamp, which of course, has been sterilized, is placed on the cord as near the skin margin as possible in the long axis of the body. The jaws are closed slowly; if this is done too rapidly there is some danger of rupturing the cord below the clamp. The cord is then cut off close to the jaws of the clamp, and an alcohol sponge applied for a few minutes to dehydrate it. A gauze roll is placed about the body, including the clamp. Twenty‐four hours later the instrument is removed and that portion of the cord which has been compressed and which is as thin as a piece of parchment can either be trimmed off at once or left to fall off, which it does within a few days." [3, p 708]. 3. Dicks JF. Treatment of the umbilical cord by short ligation and the use of a clamp. Am J Obstet Gynecol 1925 Nov; 10(5):706-8. Discussion pp739-40. |