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Updated: Jan 28, 2026

Author Spotlight: Advancing Spinal Cord Stimulation - Exploring the Cellular Responses of Motor Neurons Through Patch-Clamp Electrophysiology
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Delayed cord clamping in preterm dichorionic twin gestations.

Lilly Y Liu1, Lynn M Yee2

  • 1Department of Obstetrics and Gynecology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

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|March 12, 2019
PubMed
Summary

Delayed cord clamping is feasible for preterm dichorionic twins (born ≤32 weeks). This practice did not show adverse neonatal outcomes in this small study, suggesting safety for premature twins.

Keywords:
Delayed cord clampingneonatal outcomestwins

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Area of Science:

  • Neonatalogy
  • Maternal-Fetal Medicine
  • Perinatology

Background:

  • Delayed cord clamping (DCC) is increasingly studied for neonatal benefits.
  • Dichorionic twin gestations present unique considerations for cord management.
  • Evidence on DCC in preterm twins is limited.

Purpose of the Study:

  • To evaluate the feasibility and neonatal outcomes of DCC.
  • To compare outcomes in preterm dichorionic twins with and without DCC.
  • To assess the safety of DCC in this specific high-risk population.

Main Methods:

  • Retrospective cohort study design.
  • Inclusion of dichorionic-diamniotic twin gestations delivered between 23-32 weeks.
  • Comparison of neonatal outcomes between twins receiving DCC and those not.

Main Results:

  • 16 neonates received DCC, while 100 did not.
  • No significant differences observed in umbilical artery pH, Apgar scores, or NICU length of stay.
  • No increased risk of pressor use, neonatal death, or other adverse outcomes identified.

Conclusions:

  • DCC is a feasible practice in preterm dichorionic twin gestations (≤32 weeks).
  • In this cohort, DCC was not associated with adverse neonatal outcomes.
  • Further research with larger cohorts may be warranted to confirm findings.