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Perspectives on implementing delayed cord clamping.

Mayri Sagady Leslie

    Nursing for Women'S Health
    |April 23, 2015
    PubMed
    Summary
    This summary is machine-generated.

    Delayed cord clamping (DCC) is recommended for preterm infants and increasingly for term infants, despite concerns about polycythemia and jaundice. Evidence does not support these concerns, and DCC may improve infant resuscitation.

    Keywords:
    delayed cord clampingevidence-based practiceinfant anemiaplacental transfusionpractice change

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    Area of Science:

    • Neonatal care
    • Obstetrics
    • Perinatal medicine

    Background:

    • Delayed cord clamping (DCC) is increasingly supported by evidence for both term and preterm infants.
    • Early cord clamping (ECC) remains common practice, potentially due to persistent concerns and lack of awareness.
    • Professional organizations widely recommend DCC for preterm infants, but its adoption for term infants varies, especially in well-resourced settings.

    Purpose of the Study:

    • To explore the reasons behind the continued use of early cord clamping (ECC).
    • To address and debunk common concerns regarding polycythemia and jaundice associated with DCC.
    • To highlight emerging evidence on the benefits of DCC, including improved resuscitation in compromised infants.

    Main Methods:

    • Review of existing literature, including randomized controlled trials on cord clamping practices.
    • Analysis of professional organization recommendations and guidelines.
    • Discussion of multiple perspectives on the implementation of DCC.

    Main Results:

    • Years of research, including randomized controlled trials, do not substantiate concerns about polycythemia and jaundice with DCC.
    • New data suggest potential benefits of DCC for resuscitative efforts in compromised infants.
    • Despite recommendations, ECC persists, particularly for term infants in some settings.

    Conclusions:

    • The evidence supporting DCC for both term and preterm infants is expanding.
    • Persistent concerns about adverse effects of DCC are not supported by robust scientific data.
    • Consideration of DCC as standard practice is encouraged, with attention to implementation challenges and benefits.