Implementing delayed cord clamping in premature infants

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Hemodynamic effects of delayed cord clamping in premature infants.

BACKGROUND AND OBJECTIVE Delayed cord clamping (DCC) has been advocated during preterm delivery to improve hemodynamic stability during the early neonatal period. The hemodynamic effects of DCC in premature infants after birth have not been previously examined. Our objective was to compare the hemodynamic differences between premature infants randomized to either DCC or immediate cord clamping ...

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Is "Delayed Umbilical Cord Clamping" Beneficial for Premature Newborns?

Background: The appropriate moment for clamping the umbilical cord is controversial. Immediate cord clamping (ICC) is an item of active management of the third stage of labor (AMTSL). Unclamped umbilical cord may cause inconvenience in preterm neonates because they commonly need some levels of emergent services. Some studies revealed delayed cord clamping (DCC) of preterm neonates results in be...

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Umbilical Cord Milking Versus Delayed Cord Clamping in Preterm Infants.

BACKGROUND AND OBJECTIVE Delayed cord clamping (DCC) is recommended for premature infants to improve blood volume. Most preterm infants are born by cesarean delivery (CD), and placental transfusion may be less effective than in vaginal delivery (VD). We sought to determine whether infants <32 weeks born by CD who undergo umbilical cord milking (UCM) have higher measures of systemic blood flow t...

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Steps for implementing delayed cord clamping in a hospital setting

BACKGROUND Delayed umbilical cord clamping (DCC) permits placental-to-newborn transfusion and results in an increased neonatal blood volume at birth. Despite endorsement by numerous medical governing bodies, DCC in preterm newborns has been slow to be adopted into practice. The purpose of this article is to provide a framework to guide medical providers interested in implementing DCC in a hospi...

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Slow to change: new cord clamping policies for premature infants.

Recently, the American College of Obstetricians & Gynecologists (ACOG) recommended a 30–60 second delay in umbilical cord clamping for all preterm deliveries [1]. Delayed cord clamping in preterm infants has been associated with a greater than 50% reduction in intraventricular hemorrhage and less need for blood transfusions as demonstrated in a recent Cochrane meta-analysis of 10 randomized con...

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ژورنال

عنوان ژورنال: BMJ Open Quality

سال: 2018

ISSN: 2399-6641

DOI: 10.1136/bmjoq-2017-000219