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    Delayed Cord Clamping 2.0

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    paidamchiroro
    Delayed

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    Delayed Cord Clamping 2.0

    Uploaded by

    paidamchiroro
    6 views2 pages
    Delayed

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    © © All Rights Reserved

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    Delayed

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6 views2 pages

    Delayed Cord Clamping 2.0

    Uploaded by

    paidamchiroro
    Delayed

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    DELAYED CORD CLAMPING 2.

    • Delayed cord clamping, usually defined as cord clamping at least 30 to 60 seconds after
    birth, is recommended for improved maternal and infant health and nutrition outcomes.
    • In term infants:
    o Delayed umbilical cord clamping increases haemoglobin levels at birth and improves
    iron stores in the first months of life, which may have a favorable effect on
    developmental outcomes.
    o There is a slightly increased risk of jaundice requiring phototherapy hence healthcare
    workers should monitor for this complication and have facilities for treatment thereof.
    • In preterm infants:
    o Delayed umbilical cord clamping is associated with significant neonatal benefits
    including improved transitional circulation, better establishment of red blood cell
    volume, decreased need for blood transfusion, and lower incidence of necrotizing
    enterocolitis and intraventricular hemorrhage.
    • Immediate skin-to-skin care is appropriate while awaiting umbilical cord clamping.
    • Delayed cord clamping can be practiced at both vaginal and caesarean deliveries. In the
    case of caesarean delivery, the newborn can be placed on the maternal abdomen or legs or
    held by the surgeon or assistant at close to the level of the placenta until the umbilical cord
    is clamped.
    • Individualise the practice of delayed cord clamping according to clinical scenario and
    maternal and fetal condition.
    o In newly born term or preterm babies who do not require positive-pressure ventilation,
    the cord should not be clamped earlier than 1 minute.
    o Newly born babies who do not breathe spontaneously after thorough drying should
    be stimulated by rubbing the back 2-3 times before clamping the cord and initiating
    positive – pressure ventilation.
    o When newly born term or preterm babies require immediate positive-pressure
    ventilation, the cord should be clamped and cut to allow effective ventilation to be
    performed. Early umbilical cord clamping (less than 1 min after birth) is recommended

    DELAYED CORD CLAMPING VERSION 2 Effective Date: 2022 11 01 Page 1 of 2


    The printed copies of this document shall be treated as uncontrolled. Please refer to the online version for the latest version.
    when the neonate is asphyxiated and needs to be moved immediately for
    resuscitation.
    • Delayed umbilical cord clamping does not increase the risk of postpartum haemorrhage but
    should not interfere with active management of the third stage of labor, including the use of
    uterotonic agents after delivery of the newborn to minimize maternal bleeding.
    • Delayed cord clamping does not interfere with stem cell collection.

    References

    https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2020/12/delayed-
    umbilical-cord-clamping-after-birth

    WHO guideline: Delayed umbilical cord clamping for improved maternal and infant health and
    nutrition outcomes

    Authorship

    These guidelines were drafted by a clinical team from Mediclinic and were reviewed by a
    panel of experts from SASOG and the BetterObs clinical team in 2019 and revised by the
    Scientific Subcommittee of BetterObs in 2022. All attempts were made to ensure that the
    guidance provided is clinically safe, locally relevant and in line with current global and
    South African best practise. Succinctness was considered more important than
    comprehensiveness.

    All guidelines must be used in conjunction with clinical evaluation and judgement; care
    must be individualised when appropriate. The writing team, reviewers and SASOG do not
    accept accountability for any untoward clinical, financial or other outcome related to the
    use of these documents. Comments are welcome and will be used at the time of next
    review.

    Released on date: 2022 11 01

    Disclaimer:

    This document has been developed by interdisciplinary healthcare teams utilising the best available
    evidence and resources believed to be accurate and current at the time of release. They are intended
    to provide general advice and guidance on which to base clinical decisions. SASOG takes no
    responsibility for matters arising from changed circumstances or information that may have become
    available after issued. They must not be solely relied on or used as a substitute for assessing the
    individual needs of each patient.

    DELAYED CORD CLAMPING VERSION 2 Effective Date: 2022 11 01 Page 2 of 2


    The printed copies of this document shall be treated as uncontrolled. Please refer to the online version for the latest
    version.

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