scholarly journals Delayed Cord Clamping in Term Neonates: Attitudes and Practices of Midwives in Irish Hospitals

2018 ◽  
Vol 8 (1) ◽  
pp. 4-17 ◽  
Author(s):  
Joan Devin ◽  
Patricia Larkin
Keyword(s):  
Umbilical Cord ◽  
Active Management ◽  
Delayed Cord Clamping ◽  
Term Neonates ◽  
The Third ◽  
Cord Clamping ◽  
Third Stage Of Labor ◽  
Maternity Hospitals ◽  
Third Stage ◽  
Early Cord Clamping

Background:At the time of birth, the baby is attached to its mother’s placenta via the umbilical cord. A delay in cord clamping is physiologically beneficial to the neonate as they receive an increase in blood volume (30%–40%), increased iron stores (20–30mg/kg), and an easier transition to extrauterine life. Active management of the third stage of labor, in order to prevent maternal postpartum hemorrhage, may contribute to early cord clamping practices in Ireland. Objective:To describe the current practices and attitudes of midwives in Irish hospitals toward delayed cord clamping in term neonates. Methods:A cross-sectional descriptive survey was distributed to three maternity hospitals and two Irish online midwifery groups. Results:One hundred and fifty-three valid responses were received. One hundred and eleven midwives (72.4%) defined delayed cord clamping as “clamping after the cord ceases to pulsate.” One hundred and forty (91.5%) respondents practiced delayed cord clamping. Moreover, 62.7 % (98/153) of participants routinely clamp the umbilical cord >1 minute when practicing active management of the third stage, with 49.1% (48/98) of those waiting until cord pulsations have ceased. Awareness of research, practice guidelines advising delayed cord clamping, and experience of practicing physiological third stage are associated with increased delayed cord clamping practices. Early cord clamping is influenced by a deteriorating neonatal or maternal condition and the cultural context within clinical sites. Delayed cord clamping times during active management of the third stage differ significantly between clinical sites and maternity care pathways.Conclusion:A variety of midwifery practices were identified with differing attitudes toward cord clamping practices. Diverse influences included the practice environment, awareness of research, and availability of adjunct resuscitation supports. Recommendations for future practice include a synchronized approach to delayed cord clamping in the third stage of labor, including the provision of a national guideline.

scholarly journals Natural and Synthetic Oxytocin—Structurally Same but Differ in Effects—A Pilot Study

2021 ◽  
Author(s):  
Katarzyna Wszołek ◽  
Karolina Chmaj-Wierzchowska ◽  
Małgorzata Pięt ◽  
Agata Tarka ◽  
Maciej Wilczak
Keyword(s):  
Umbilical Cord ◽  
Labor Induction ◽  
Active Management ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
The Third ◽  
Third Stage Of Labor ◽  
Third Stage ◽  
Synthetic Oxytocin ◽  
Umbilical Cord Vein

Abstract Purpose: synthetic oxytocin is currently used to induce labor and strengthen the contractile function in the first or second stage of labor. It is also used therapeutically and prophylactically in the third stage of labor. We aimed to correlate the dose and duration of synthetic oxytocin infusions used during induction of labor, augmentation of labor in the first and second stage of labor, and during active management of labor in the third stage of labor to the level of prolactin and cortisol in the serum of the parturient blood and from the umbilical cord vein.Methods: The mother’s blood was collected from a venous vessel and foetal from the umbilical cord vein just cutting was performed and the levels of cortisol and prolactin was evaluated by electrochemiluminescence (ECLIA). The blood sample from the umbilical cord vein and artery were collected to separate heparinized capillaries and the pH, base deficit (BD), pO2, and CO2 concentration were assessed.Results: We observed decreased level of prolactin immediately after the labor depending on the total dose of synthetic oxytocin used. We did not observe any relationship between the level of prolactin on postpartum day 2 on the dose of administered hormone or the fact of the labor induction. We observed significant correlations with regard to hormone levels without the synthetic oxytocin total dosage correlation. Conclusion: We strongly believe that the definition of uniform norms and principles with regard to the dosage of synthetic oxytocin for labor induction should be determined.

scholarly journals Study of the Active Management of the Third Stage of Labor (AMTSL) in Four Maternity Hospitals in the Commune of Kara (Togo)

2021 ◽  
Vol 11 (09) ◽  
pp. 1151-1160
Author(s):  
Dédé Régine Diane Ajavon ◽  
Akila Bassowa ◽  
Baguilane Douaguibe ◽  
Ameyo Ayoko Ketevi ◽  
Kossi Edem Logbo-Akey ◽  
...  
Keyword(s):  
Active Management ◽  
The Third ◽  
Third Stage Of Labor ◽  
Maternity Hospitals ◽  
Third Stage

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.

scholarly journals PRIMERJAVA PREDNOSTI IN SLABOSTI TAKOJŠNJE TER ODLOŽENE PREKINITVE POPKOVNICE PRI NOVOROJENČKU

2015 ◽  
Vol 84 (7-8) ◽  
Author(s):  
Tamara Serdinšek ◽  
Andraž Dovnik ◽  
Iztok Takač
Keyword(s):  
Respiratory Distress ◽  
Active Management ◽  
Preterm Neonates ◽  
Delayed Cord Clamping ◽  
Birth Canal ◽  
The Third ◽  
Cord Clamping ◽  
Third Stage ◽  
Umbilical Cord Clamping ◽  
The Usa

Background: Umbilical cord clamping in the third stage of labour is still controversial. Early cord clamping is defined as clamping at 10, 15, 30 or 60 seconds after delivery and delayed as clamping after 60 seconds or at 2-5 minutes after delivery, when the cord stops pulsating or when the placenta is visible within the birth canal. Early clamping is one of the three components of active management of the third stage of labour, which has been used widely in modern obstetrics during the last century. However, in some northern European countries, various parts of the USA and Canada and in developing countries physiological management is preferred.Conclusions: After publication of several trials describing advantages of delayed clamping, this has recently been progressively replacing early clamping. The most important advantages of delayed cord clamping are higher haemoglobin and ferritin levels, higher iron stores, lower incidence of iron deficiency anaemia, better cardiopulmonary adaptation, lower rate of respiratory distress syndrome, and longer duration of early breastfeeding in term neonates, while there is no increase in the incidence of postpartum haemorrhage. Delayed clamping seems to bring some advantages for preterm neonates as well. However, caution is still advised because of the potential adverse effects, especially polycythaemia with hyperviscosity, hyperbilirubinaemia and respiratory distress.

scholarly journals The Effectiveness of Placental Drainage in the Active Management of the Third Stage against the Duration of Three Childbirths in the Independent Practice of Midwives in Banda Aceh City

2021 ◽  
Vol 9 (E) ◽  
pp. 745-748
Author(s):  
Gustiana Gustiana ◽  
Novemi Novemi ◽  
Yusnaini Yusnaini ◽  
Kartinazahri Kartinazahri ◽  
Iin Fitraniar
Keyword(s):  
Standard Deviation ◽  
Umbilical Cord ◽  
Active Management ◽  
Independent Practice ◽  
The Third ◽  
Cord Clamping ◽  
Third Stage ◽  
Umbilical Cord Clamping ◽  
Three Stages ◽  
Banda Aceh

BACKGROUND: The third stage of active management has become a standard practice in delivery management. Implementation of childbirth care requires accelerated release of the placenta to avoid bleeding. Placental drainage can shorten the duration of the three stages and reduce blood loss during labor. AIM: The aim of the study is to analyzing the effectiveness of placental drainage in the third stage active management of the third stage of delivery at the midwife’s independent practice (PMB) in the city of Banda Aceh. METHODS: This study used a Quasi Experiment design with a post-test control design. This research was carried out for 12 weeks at the PMB in Banda Aceh City, namely mothers who gave birth at the Erni Munir PMB and the Independent Practice Midwife Mutia Yacob. The sampling technique was purposive sampling. The sample in this study amounted to thirty mothers giving birth, divided into two groups, namely, the treatment group with placental drainage as many as 15 mothers and respondents with cord clamping as many as 15 mothers. With the inclusion criteria, the mother is willing to be a respondent, the vital signs of normal mothers, single and live fetuses, term pregnancy, and an interpretation of average fetal weight ≥ 2500 g. Data analysis used the MannWhitney test, with a confidence level of 95%. RESULTS: The results showed a difference in effectiveness between the placental drainage group and the umbilical cord clamping group, as evidenced by a statistical test with p = 0.001. The length of three stages required by mothers to give birth with placental drainage has a mean value of 4.47 min with a standard deviation of 0.516. The average length of time required by the mother to give birth with umbilical cord clamping is 5.40 min with a standard deviation value of 0.828. CONCLUSION: Placental drainage was more effective than umbilical cord clamping to shorten the third stage length in the Independent Practice of Midwives in Banda Aceh City.

Sign in / Sign up

Export Citation Format

Share Document