A physiologic approach to cord clamping: Clinical issues

@article{Niermeyer2015APA,
  title={A physiologic approach to cord clamping: Clinical issues},
  author={Susan Niermeyer},
  journal={Maternal Health, Neonatology and Perinatology},
  year={2015},
  volume={1}
}
  • S. Niermeyer
  • Published 8 September 2015
  • Medicine
  • Maternal Health, Neonatology and Perinatology
BackgroundRecent experimental physiology data and a large, population-based observational study have changed umbilical cord clamping from a strictly time-based construct to a more complex equilibrium involving circulatory changes and the onset of respirations in the newly born infant. However, available evidence is not yet sufficient to optimize the management of umbilical cord clamping.FindingsCurrent guidelines vary in their recommendations and lack advice for clinicians who face practical… 
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A large number of neonates born withfetal hemolytic disease, hydrops fetalis, twin–twin transfusion, genetic syndromes, and potentially lethal malformations were excluded from this randomized controlled trial.
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TLDR
It is demonstrated that DCC is associated with improved dynamic cerebral autoregulatory function and may be the mechanism behind the decreased incidence of IVH.
Factors associated with umbilical cord clamping in term newborns.
TLDR
The identification of associated factors and the comparison between recording and observing the clamping time can help in the planning and implementation of improvements for adherence to good practices at birth.
Placental Transfusion, Timing of Plastic Wrap or Bag Placement, and Preterm Neonates.
TLDR
Timing of plastic wrap/bag placement during placental transfusion did affect duration of delayed cord clamping, number of times cord milking was performed, and time to initiate respiratory support in the delivery room but did not alter birth hospital outcomes or respiratory care practices other than the combined outcome of death or necrotizing enterocolitis.
Delivery room care and neonatal resuscitation while on intact placental circulation: an open-label, single-arm study
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Umbilical Cord Practices of Members of the American College of Nurse-Midwives.
TLDR
There has been an increase in the practice of delayed cord clamping over the last 20 years, but cord milking is not as widely practiced as DCC, and respondents were less likely to be convinced by the evidence for Cord milking.
Golden 60 minutes of newborn’s life: Part 2: Term neonate
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  • Medicine
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This part of review will cover all the golden hour interventions in term neonate with current evidence.
Factors contributing to postpartum blood-loss in low-risk mothers through expectant management in Japanese birth centres.
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TLDR
Evidence exists to support delayed umbilical cord clamping in preterm infants, when feasible, and the possibility for a nearly 50% reduction in intraventricular hemorrhage, however, currently, evidence is insufficient to confirm or refute the potential for benefits from delayed Umbilical Cord Clamping in term infants, especially in settings with rich resources.
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A brief delay in clamping the umbilical cord results in a placental transfusion that supplies the infant with a major source of iron during the first few months of life. Cord circulation continues
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TLDR
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TLDR
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TLDR
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TLDR
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