Implementing Delayed Cord Clamping

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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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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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Immediate or early cord clamping vs delayed clamping.

Over the past 40 years, there have been a number of review articles attempting to rationalise cord clamping practice. Early cord clamping was originally thought to be important in active management of the third stage of labour, but this was never evidence based. Without an evidence base to justify it, early cord clamping in clinical practice has remained very variable. There is good evidence th...

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Delayed Umbilical Cord Clamping After Birth.

Delayed umbilical cord clamping appears to be beneficial for term and preterm infants. In term infants, delayed umbilical cord clamping increases hemoglobin levels at birth and improves iron stores in the first several months of life, which may have a favorable effect on developmental outcomes. There is a small increase in jaundice that requires phototherapy in this group of infants. Consequent...

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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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ژورنال

عنوان ژورنال: Journal of Obstetric, Gynecologic & Neonatal Nursing

سال: 2017

ISSN: 0884-2175

DOI: 10.1016/j.jogn.2017.04.033