Cord clamping beyond 3 minutes: Neonatal short-term outcomes and maternal postpartum hemorrhage
Quote from Debbie Young, MSL, LCCE, ICCE, ICBD, CLC on June 13, 2022, 2:27 pmThe hospital I work at is promoting a 60 second delay. What is happening in your facility? Some caregivers go longer but not sure if they would go 3+ minutes. How would you use this information with your students or patients?
"Conclusions
Delaying CC beyond 3 minutes was not associated with any negative consequences for mother or child in this study of 904 mother-infant dyads. This further strengthens the recommendation to delay CC >3 minutes to give the infant short-term benefits such as improved oxygen levels immediately after birth25, 26 and positive long-term benefits such as less iron deficiency, improved brain myelin content, neurodevelopment, and reduction of infant anemia in low-resource settings.3-9 Furthermore, the results suggest that the concerns about increased risk of phototherapy in conjunction with delayed CC should be abandoned. However, longer CC time than evaluated in this study, for example extending CC time beyond placental delivery, could theoretically lead to reverse blood transfusion back to the placenta29 and is not recommended. Although CC time as long as 6 minutes could be considered as safe, further research will be needed to decide the optimal timing for mother and child."
Take a look at the research article in BIRTH Issues in Perinatal Care here.
The hospital I work at is promoting a 60 second delay. What is happening in your facility? Some caregivers go longer but not sure if they would go 3+ minutes. How would you use this information with your students or patients?
"Conclusions
Delaying CC beyond 3 minutes was not associated with any negative consequences for mother or child in this study of 904 mother-infant dyads. This further strengthens the recommendation to delay CC >3 minutes to give the infant short-term benefits such as improved oxygen levels immediately after birth25, 26 and positive long-term benefits such as less iron deficiency, improved brain myelin content, neurodevelopment, and reduction of infant anemia in low-resource settings.3-9 Furthermore, the results suggest that the concerns about increased risk of phototherapy in conjunction with delayed CC should be abandoned. However, longer CC time than evaluated in this study, for example extending CC time beyond placental delivery, could theoretically lead to reverse blood transfusion back to the placenta29 and is not recommended. Although CC time as long as 6 minutes could be considered as safe, further research will be needed to decide the optimal timing for mother and child."
Take a look at the research article in BIRTH Issues in Perinatal Care here.