Afnavelen (doorknippen van de navelstreng)

Geschreven door Jiery van Roon
Gepubliceerd op 9 februari 2022
Laatste update 9 februari 2022

Na de geboorte van de baby is het kind nog steeds verbonden door de navelstreng. In de navelstreng zit dan nog bloed. De navelstreng kan worden doorgeknipt op verschillende momenten: direct na de geboorte van de baby, voordat de placenta geboren wordt, nadat de placenta geboren wordt (halve lotusgeboorte), of helemaal niet (volledige lotusgeboorte). Het doorknippen van de navelstreng heet ‘afnavelen’.

Wat gebeurt er als we de navelstreng laten uitkloppen? Wat is optimaal afnavelen? Hoe herkennen we een uitgeklopte navelstreng? En zijn er ook alternatieven voor het laten uitkloppen van de navelstreng? Dit artikel geeft antwoord op deze en andere vragen.

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Gönenç, L. M., Aker, M. N., & Ay, E. (2019). Qualitative study on the experience of lotus birth. Journal of Obstetric, Gynecologic & Neonatal Nursing48(6), 645–653. https://doi.org/10.1016/j.jogn.2019.08.005

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Jeevan, A., Ananthan, A., Bhuwan, M., Balasubramanian, H., Rao, S., & Kabra, N. S. (2021). Umbilical cord milking versus delayed cord clamping in term and late-preterm infants: a systematic review and meta-analysis. The Journal of Maternal-Fetal & Neonatal Medicine, 1–11. https://doi.org/10.1080/14767058.2021.1884676

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  1. Zijn er bij laat afnavelen (in een klinische setting) gevolgen voor de baby wanneer er medicatie post partum toegediend wordt bij moeder. Bijvoorbeeld syntocinon of nalador? Iets om rekening mee te houden of geen probleem?

    1. Dat weten we niet, daarover zijn de meningen verdeeld. Op het moment dat de placenta los ligt sowieso niet natuurlijk, dan is er geen verbinding meer met de moeder. Als de placenta nog vastzit: 2 experts (Kerstin Uvnas-Moberg en Sarah Buckley) zijn hier tegenstrijdig over, de 1 zegt dat het niet direct bij de baby komt, de ander van wel. Ik weet ook niet in hoeverre er nog een uitwisseling is tussen moeder en placenta als het kind geboren is.