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Time to implement delayed cord clamping.

Ryan M McAdams1

  • 1Department of Pediatrics, University of Washington, Seattle, Washington.

Obstetrics and Gynecology
|February 7, 2014
PubMed
Summary
This summary is machine-generated.

Delayed umbilical cord clamping offers significant benefits for both preterm and term neonates, improving circulation and iron stores. This practice, supported by evidence, enhances infant health outcomes and neurodevelopment, contrary to routine immediate clamping.

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Area of Science:

  • Neonatal Medicine
  • Obstetrics
  • Pediatric Health

Background:

  • Immediate umbilical cord clamping is standard practice in the US, yet lacks robust supporting evidence.
  • Existing research highlights the safety and advantages of delayed cord clamping (DCC) in neonates.

Purpose of the Study:

  • To review the established benefits of delayed cord clamping in both preterm and term neonates.
  • To emphasize the clinical advantages of increased placental transfusion at birth.

Main Methods:

  • Review of numerous clinical trials and published evidence on delayed cord clamping.
  • Analysis of outcomes in preterm neonates, including circulatory stability and transfusion needs.
  • Evaluation of outcomes in term neonates, focusing on iron status and neurodevelopment.

Main Results:

  • Delayed cord clamping stabilizes transitional circulation in preterm infants, reducing the need for medications and transfusions.
  • Preterm infants undergoing DCC show decreased rates of necrotizing enterocolitis and intraventricular hemorrhage.
  • Term infants benefit from DCC with reduced iron-deficient anemia, improved iron stores, and potential long-term neurodevelopmental advantages.

Conclusions:

  • Delayed cord clamping provides significant health benefits for neonates, including improved iron status and neurodevelopment.
  • The widespread adoption of DCC is recommended to maximize placental transfusion and prevent potential harm from immediate clamping.