Delayed Clamping = 2-3 min after birth or when pulsation has stopped
Benefits: increased iron stores, addition of 40-50mg/kg (fetus initial stores = 75mg/kg)
transfer of blood @1min = 80ml, @3min = 100ml
Risk: polycythemia, hyperbilirubinemia, other neonatal disorders (no risk to mother).
@6 months no difference in hemoglobin (which makes sense) however there was a higher ferritin level in delayed clamping (which correlates with increased iron stores).
Source:
http://apps.who.int/rhl/pregnancy_childbirth/childbirth/3rd_stage/cd004074_abalose_com/en/index.html
How 'bout Tradition?
!Kung (Wiki)
ǃKung women give birth with the earth as primary midwife (a form of unassisted childbirth) walking away from the village camp as far as a mile during labor and birthing the child alone, delivering it into a small leaf-lined hole dug into the warm sand. The child's cord is not clamped or cut (a form of Lotus birth or umbilical nonseverance), and the placenta is delivered and put next to the child, as guardian.
Ache (
Wiki)
Now if one were to look at a foraging society, such as the Ache from Paraguay, when the women go into labor, they simply go into a more secluded area, squat, proceed to deliver their child by themselves, bite off the umbilical cord, put the newborn to breast, probably clean themselves and their baby, and go back to their people (hopefully to rest).
From Book:
Indigenous Customs in Childbirth and Child Care By Yvonne Lefèber, H. W. A. Voorhoev
In Chimps? (Wiki)
In chimpanzees, the mother focuses no attention on umbilical severance, instead nursing her baby with cord, placenta, and all, until the cord dries and separates within a day of birth, at which time the cord is discarded.
References
The Chimp Washoe
(source)
Washoe soon began eating the umbilical cord from around the infant's neck, relieving any possible suffocation. Minutes later, she delivered the equivalent of a doctor's slap by gently squeezing one of the baby's tiny fingers with her teeth. Suddenly, the infant squeaked. I breathed a huge sigh of relief. A few minutes later, Washoe delivered and ate the highly nutritional placenta. Although somewhat startling to watch, this act is common among mammals, including some human cultures, and seemed to flow naturally from Washoe's state of heightened maternal instinct.
Conclusion
Considering the importance of iron stores in growing infants (which require a ton of iron thus the recommendation of iron fortified cereal @ 6 months, in reality food should probably be introduced even earlier). In a RCT(1) the adverse effects of hyperbilirubinemia and respiratory distress seem unfounded.Thus delayed clamping of 3 min or more, at least 1 min, seems to be best, providing benefits for the infant and no risk to the mother.
References
01. BMJ. 2011 Nov 15;343:d7157. doi: 10.1136/bmj.d7157.Effect of delayed versus early umbilical cord clamping on neonatal outcomes and iron status at 4 months: a randomised controlled trial.Andersson O, Hellström-Westas L, Andersson D, Domellöf M.