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FIGO good practice recommendations on delayed umbilical cord clamping
Ana Bianchi1, Bo Jacobsson2,3,4, Ben W Mol5,6
1Perinatal Department, Pereira Rossell Hospital Public Health and University Hospital, Montevideo, Uruguay.
Summary
Delayed umbilical cord clamping benefits preterm and term infants, improving hematologic measures and potentially reducing mortality. Optimal delay duration requires further study, but 30 seconds to 3 minutes is currently suggested.
Area of Science:
- Neonatal Medicine
- Perinatal Research
- Pediatric Health
Background:
- Delayed umbilical cord clamping (UCC) is increasingly recognized for its benefits.
- Previous research indicates positive effects in preterm infants.
Purpose of the Study:
- To evaluate the impact of delayed umbilical cord clamping on neonatal outcomes.
- To determine optimal timing for cord clamping in preterm and term infants.
Main Methods:
- Review of current evidence on delayed umbilical cord clamping.
- Analysis of neonatal hematologic measures, mortality, and morbidity.
- Assessment of short- and long-term infant outcomes, including neurodevelopmental domains.
Main Results:
- Delayed UCC in the first minute for preterm infants improves hematologic status and may decrease mortality without increasing morbidity.
- In term infants, delayed UCC shows benefits in short- and long-term outcomes, including improved fine motor and social development.
- Evidence is insufficient to define the optimal delay duration.
Conclusions:
- Delayed umbilical cord clamping is beneficial for both preterm and term neonates.
- Current evidence supports a minimum delay of 30 seconds for preterm infants.
- A delay of 30 seconds to 3 minutes appears justified for term infants pending further research.

