Cord Management of the Term Newborn.

Clin Perinatol

Neonatal Research Institute at Sharp Mary Birch Hospital for Women and Newborns, San Diego, CA, USA; University of Rhode Island, Kingston, RI, USA.

Published: August 2021

AI Article Synopsis

  • Delaying cord clamping for at least 3 minutes after delivery helps with the transition from fetal to neonatal circulation and allows for additional blood transfer from the placenta, benefiting the baby.
  • Evidence shows that waiting to clamp the umbilical cord improves neurodevelopmental outcomes in full-term infants, despite some concerns about jaundice.
  • The article discusses the need to promote delayed cord clamping as a standard practice, highlighting its long-term advantages compared to the slow adoption of this method in hospitals.

Article Abstract

Keeping the umbilical cord intact after delivery facilitates transition from fetal to neonatal circulation and allows a placental transfusion of a considerable amount of blood. A delay of at least 3 minutes improves neurodevelopmental outcomes in term infants. Although regarded as common sense and practiced by many midwives, implementation of delayed cord clamping into practice has been unduly slow, partly because of beliefs regarding theoretic risks of jaundice and lack of understanding regarding the long-term benefits. This article provides arguments for delaying cord clamping for a minimum of 3 minutes.

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Source
http://dx.doi.org/10.1016/j.clp.2021.05.002DOI Listing

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