scholarly journals Immediate effects of clamping of the umbilical cord on the newborns

2019 ◽  
Vol 6 (3) ◽  
pp. 1251
Author(s):  
Muhammad Hassan ◽  
Adarsh E. ◽  
Sahana Manjunath ◽  
Shivtej N. ◽  
Archana D. V. ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
World Health ◽  
Optimal Time ◽  
Optimal Timing ◽  
Delayed Cord Clamping ◽  
Medical College ◽  
Cord Clamping ◽  
Third Stage ◽  
Umbilical Cord Clamping ◽  
Health Organization

Background: The optimal timing of cord clamping has been a controversial issue for decades. Most practitioners in developing countries clamp and cut the cord immediately after birth and this takes place during the third stage of labour. World Health Organization advises late cord clamping, however there is a debate on the optimal time for cord clamping. Delayed umbilical cord clamping appears to be beneficial for term and preterm infants.Methods: This observational study was undertaken at Rajarajeswari Medical College and Hospital, Bangalore, Karnataka, India from June 2018 to January 2019.Results: Total 100 neonates were studied of which 48 were females (48%) and 52 were males (52%). 76 babies (76%) were 3 day old in this study and 24 babies were (24%) 4 day old during the study period. 92 babies (92%) didn’t receive phototherapy in this study and 8 babies (8%) required phototherapy during the study period. No babies were polycythemic during this study period. Mean TB was 11.832 whereas mean DB was 0.5. Mean HCT was 56.332 and mean HB was 18.3002.Conclusions: Present study concluded that there are various advantages if authors practiced delayed cord clamping including higher levels of haemoglobin and haematocrit levels.

scholarly journals Antimicrobial prophylaxis administration after umbilical cord clamping in cesarean section and the risk of surgical site infection: a cohort study with 55,901 patients

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Rami Sommerstein ◽  
◽  
Jonas Marschall ◽  
Andrew Atkinson ◽  
Daniel Surbek ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Umbilical Cord ◽  
Multilevel Models ◽  
Antimicrobial Prophylaxis ◽  
Surgical Site Infections ◽  
Patient Characteristics ◽  
World Health ◽  
Cord Clamping ◽  
Umbilical Cord Clamping ◽  
Health Organization

Abstract Background The World Health Organization (WHO) recommends administration of surgical antimicrobial prophylaxis (SAP) in cesarean section prior to incision to prevent surgical site infections (SSI). This study aimed to determine whether SAP administration following cord clamping confers an increased SSI risk to the mother. Methods Study design: Cohort. Setting: 75 participating Swiss hospitals, from 2009 to 2018. Participants: A total of 55,901 patients were analyzed. Main outcome measures: We assessed the association between SAP administration relative to incision and clamping and the SSI rate, using generalized linear multilevel models, adjusted for patient characteristics, procedural variables, and health-care system factors. Results SAP was administered before incision in 26′405 patients (47.2%) and after clamping in 29,496 patients (52.8%). Overall 846 SSIs were documented, of which 379 (1.6% [95% CI, 1.4–1.8%]) occurred before incision and 449 (1.7% [1.5–1.9%]) after clamping (p = 0.759). The adjusted odds ratio for SAP administration after clamping was not significantly associated with an increased SSI rate (1.14, 95% CI 0.96–1.36; p = 0.144) when compared to before incision. Supplementary and subgroup analyses supported these main results. Conclusions This study did not confirm an increased SSI risk for the mother in cesarean section if SAP is given after umbilical cord clamping compared to before incision.

scholarly journals Management of the Third Stage of Labor: How Delayed Umbilical Cord Clamping Can Affect Neonatal Outcome

2017 ◽  
Vol 34 (14) ◽  
pp. 1375-1381 ◽  
Author(s):  
Mitchell Kresch
Keyword(s):  
Umbilical Cord ◽  
Neonatal Resuscitation ◽  
Delayed Cord Clamping ◽  
Ample Evidence ◽  
Cord Clamping ◽  
Third Stage Of Labor ◽  
Third Stage ◽  
Umbilical Cord Clamping ◽  
Short And Long Term

AbstractThis review presents the effects of delayed umbilical cord clamping on neonatal transitional physiology. The effects of delayed cord clamping on short- and long-term neonatal outcomes are then discussed. There is ample evidence over the last 50 years that delayed cord clamping in preterm infants is beneficial for both short-term and long-term outcomes. Providing ventilation in the initial steps of neonatal resuscitation prior to clamping of the umbilical cord has a physiologic basis and results in better outcomes for newborns. The challenge now is to design equipment and strategies that can allow initial resuscitation very close to the mother while the umbilical cord is still attached to the placenta.

Increment in Phototherapy After Adopting Delayed Cord Clamping Practice

2021 ◽  
pp. 097321792110607
Author(s):  
Chinmay Chetan ◽  
Nishant Banait ◽  
Vikramaditya Athelli ◽  
Bhvya Gupta ◽  
Prince Pareek ◽  
...  
Keyword(s):  
Tertiary Care ◽  
World Health ◽  
Care Hospital ◽  
Delayed Cord Clamping ◽  
Term Infants ◽  
Cord Clamping ◽  
Early Cord Clamping ◽  
Baseline Characteristics ◽  
Health Organization ◽  
Larger Sample

Introduction: World Health Organization (WHO) in 2014 recommended delayed cord clamping (DCC) in all babies who cry immediately after birth. Despite many benefits, there are concerns of increased rate of phototherapy in babies receiving DCC. This study was done to determine the increment in the rate of phototherapy required in infants managed with DCC vs infants managed with early cord clamping (ECC). Methods: A retrospective observational study was conducted in a tertiary care hospital in Pune, India. All the infants born between January 2018 and July 2018, for whom ECC was done, were compared with infants who were born between January 2019 and July 2019, after DCC policy was adopted. All the infants with birth weight ≥2 kg and gestation ≥35 weeks, who were with their mother, were included. Baseline characteristics were compared for both the groups. American Academy of Pediatrics guidelines for treatment of neonatal jaundice were used to determine the need for phototherapy. Number of infants in both the groups who required phototherapy were compared. Results: The ECC group had 565 infants while DCC group had 731 infants. There was no difference in the baseline characteristics of the 2 groups. Jaundice requiring phototherapy was noted in 31% of infants in the ECC group, compared to 45% in infants in the DCC group (relative risk: 1.47 [1.27-1.71] [ P < .001]). Conclusion: In this study, DCC increased the need for phototherapy by 47% in late preterm and term infants. Randomized control trials with larger sample size are required to confirm this finding.

scholarly journals Current umbilical cord clamping practices and attitudes of obstetricians and midwives toward delayed cord clamping in Saudi Arabia

2017 ◽  
Vol 37 (3) ◽  
pp. 216-224 ◽  
Author(s):  
Nadia O. Ibrahim ◽  
Hatouf H. Sukkarieh ◽  
Rami T. Bustami ◽  
Elaf A. Alshammari ◽  
Lama Y. Alasmari ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Umbilical Cord ◽  
Delayed Cord Clamping ◽  
Cord Clamping ◽  
Umbilical Cord Clamping

EARLY VERSUS DELAYED CORD CLAMPING AT BIRTH; IN SICKNESS AND IN HEALTH

2013 ◽  
Vol 24 (3) ◽  
pp. 185-193 ◽  
Author(s):  
DAVID J. R. HUTCHON
Keyword(s):  
Umbilical Cord ◽  
Preterm Births ◽  
Neonatal Health ◽  
Delayed Cord Clamping ◽  
Cord Clamping ◽  
Third Stage ◽  
Neonatal Transition

Third stage practice, including the timing of cord clamping and its impact on neonatal health, has been comprehensively reviewed previously by Downey and Bewley, and this opinion will focus on the evidence about neonatal transition which has been published since. Many professional organisations and experts recommend at least a 30-second delay before clamping the umbilical cord, especially after preterm births.

Delayed Cord Clamping: A Collaborative Practice to Improve Outcomes

2013 ◽  
Vol 32 (5) ◽  
pp. 369-373 ◽  
Author(s):  
Patricia Scheans
Keyword(s):  
Umbilical Cord ◽  
Collaborative Practice ◽  
Optimal Timing ◽  
Long Term Outcomes ◽  
Delayed Cord Clamping ◽  
Team Collaboration ◽  
Neonatal Nurses ◽  
Cord Clamping ◽  
Short And Long Term

Delayed cord clamping is a collaboration between the obstetric team and the neonatal team. Although the optimal timing for clamping the umbilical cord after birth continues to be subject to study, delaying clamping for at least 30–60 seconds, with the newborn held at or below the level of the uterus/placenta supports normal physiology and has proven benefits. Practical issues such as thermoregulation and equipment can be overcome with team collaboration and prebriefing planning. Neonatal nurses who attend deliveries are perfectly poised to influence this practice and improve short- and long-term outcomes for their patients.

scholarly journals Delayed Umbilical Cord Clamping is Not Associated with Acute Kidney Injury in Very Low Birth Weight Neonates

2019 ◽  
Vol 37 (02) ◽  
pp. 210-215
Author(s):  
Matthew W. Harer ◽  
Ryan M. McAdams ◽  
Mark Conaway ◽  
Brooke D. Vergales ◽  
Dylan M. Hyatt ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Umbilical Cord ◽  
Very Low Birth Weight ◽  
Kidney Diseases ◽  
Kidney Injury ◽  
Delayed Cord Clamping ◽  
Cord Clamping ◽  
Umbilical Cord Clamping

Abstract Objective This study aimed to determine if delayed cord clamping (DCC) is associated with a reduction in neonatal acute kidney injury (AKI). Study Design A retrospective single-center cohort study of 278 very low birth weight (VLBW) neonates was performed to compare the incidence of AKI in the following groups: immediate cord clamping (ICC), DCC, and umbilical cord milking. AKI was diagnosed by the modified neonatal Kidney Diseases and Improving Global Outcomes (KDIGO) definition. Results The incidence of AKI in the first week was 20.1% with no difference between groups (p = 0.78). After adjustment for potential confounders, the odds of developing AKI, following DCC, compared with ICC was 0.93 (confidence interval [CI]: 0.46–1.86) with no reduction in the stage of AKI between groups. Conclusion In this study, DCC was not associated with a reduced rate of AKI in VLBW neonates. However, the data suggest that DCC is also not harmful to the kidneys, further supporting the safety of DCC in VLBW neonates.

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