We cut the cord at about 1 minute after birth and then wait for spontaneous delivery of placenta. What is the benefit to mother or bady when your protocol is done?

 if the newborn is having any difficulties breathing, then 3 minutes is preferable to one minute of cutting  the cord.  

The placenta is always separated by 3 minutes, so delivering it by 5 minutes results in less bleeding.  less bleeding results in less hemorrhage.  

By delivering at 5 minutes, you prevent the need for manual removal made necessary by the cervix closing before placental delivery.

trying it once, you will see how logical it is to deliver the placenta at 5 minutes, rather than just waiting.  waiting results in 1 to 2% PPH rates whiich I avoid by expedient delivery of the placenta.  MInutes count.  delivering at 10 minutes, there is twice as much pph.

We followed the active management protocol for delivering placenta.

Oxytocin 10 units intramuscular given at the birth of anterior shoulder .

Followed by controlled cord traction and delivering the placenta. 

Our experience has been good with method and overall reduced PPH incidence.

3.4.5 minute protocol of delivering the placenta in squatting at 5 minutes does not reduce PPH  It eliminates PPH.   Active management results in 5% PPH rates,  The Pitocin is often so painful that the woman is in too much pain to nurse, which causes short and long term problems- the baby does not get the colostrum and the mother loses confidence in her ability to nurse.    The research on active management only shows that it has better resutls than expectant management, but it is not bettter than squating the placenta out at 4 or 5 minutes.    Expectant management is associated with 15% PPH rates.   So there is a better way than active management.   why not try it once?

Read the 2014 article by Uwins and Hutchon on Delayed umbilical cord clamping after childbirth at http://dx.doi.org/10.2147/PHMT.S51867 

I have read the Uwins Hutchon ariticle . I agree with it.  I dont understand why you would be recommending that i read this article about delayed cord clamping.   Perhaps you need to become familiar with my 3,4,5 protocol?

Please take the time to familiarize yourself with the protocol that prevents  PPH

https://www.youtube.com/watch?v=bpaRs_MEdyA

Judy, I am interested in this protocol. Do you have some high level clinical evidence that it is effective? So there has never been a case of PPH when using this method?

My evidence is 650 births without PPH,   Except for 2 women who had all the following risk factors: Previous history of placenta accreta X1,  Previous CS X1, Grandmultiparity- 8th birth, Gestational diabetes,  Fetal Birth weight over 4500 gm,  Platelets =65, 75.   They both lost about 1500 cc in the first 2 hours.   But it is worth mentioning that , the Israeli Ministry of Health in their bias against homebirth, prohibits homebirth midwives from carrying IM Methergine, so their bleeding could only be controlled with PO methergine.   which takes 10 minutes to kick in, in obese women.  Other than that , no PPH.  Thats right.   I also prevent perineal tearing by practicing with the EPINO once for 5 minutes at 38 weeks,   and i deliver the head slowly to prevent tearing as well, so no bleeding from tears to speak of.

https://www.youtube.com/watch?v=zX1FEJ9SMEw

Are you planning an RCT for this? This would be an interesting study compared to the WHO active management of the 3rd stage recommendations.

I agree with Dr. Michael Stitely and hope to share in multicentric study like that to test different populations

This is my dream.  The first time I published the protocol in BIRTH JOURNAL 2010, I asked practitioners to contact me and fill in a questionaire which i developed to collect outcomes using Judy's 3,4,5.   No one responded.    I emailed many hospitals to ask if they would promote a testing of this protocol in Israel, the US, and England.  None responded positively.   I spoke about it at the Prague Birth Conference Nov 2014, to a room of 200 midwives.   None were willing to try it.   They all said they dont want to change or try anything new.  I know there are 4 US midwives who have contacted me personally, who tried it, found it to work and continue to use it.   I have a tool to collect data prepared and will atttach it later.