Well, I am lucky there as my Vets are the Royal Veterinary College, which is just up the road to me, and the Vet of choice trained on Miniatures....cannot get a lot better as all the Vets in the College are now prepped on what NOT to do with a mini, which at least means I get correct amounts of medication as norm, and no Bute suggested anymore!!
Because it is a teaching practise they a re also very accepting of client input.
I am almost certain that is this is a "chicken and egg" situation.
Just as some of the foals born in the bag are certainly savable, I am also certain that a lot found in the bag were dead at birth.
So, I think, a lot of foals born with twisted cords were dead before this happened, but, equally, a small number were alive at the start.
Anna, to address your colt, I do actually think he would have died whatever you had done. Once the foal has it's head free and can inflate it's lungs, although it should be left to get all the blood it can from the umbilicus, it is not essential and cutting off the umbilicus at this point, or the blood flow from it, should not be life threatening to the foal. Sometimes it is essential to do this, in fact, as with BHs particularly, if the foal in an awkward place you cannot just hoik them out of the way as you can a mini, so you have to get the foal out to avoid it being injured.