Delayed cord clamping with and without cord stripping: a prospective randomized trial of preterm neonates.

  title={Delayed cord clamping with and without cord stripping: a prospective randomized trial of preterm neonates.},
  author={Margaret S Krueger and Fabien G. Eyal and Keith J. Peevy and Charles R. Hamm and Richard M. Whitehurst and David F. Lewis},
  journal={American journal of obstetrics and gynecology},
  volume={212 3},

Delayed Cord Clamping in Preterm Neonates: A Review of Benefits and Risks

Although the evidence comes primarily from small trials, delayed cord clamping in premature neonates is associated with less need for red blood cell transfusions, increase in hemoglobin and hematocrit levels, and decrease in risk of intraventricular hemorrhage and necrotizing enterocolitis.

Effectiveness of Delayed Cord Clamping in Reducing Postdelivery Complications in Preterm Infants: A Systematic Review

This review supports the current recommendation to perform delayed cord clamping during preterm deliveries and can lead to improved outcomes measures in preterm infants.

Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes.

This Cochrane Review is a further update of a review first published in 2004 and updated in 2012 and includes forty-eight studies, with data available from 40 studies involving 4884 babies and their mothers.

Benefits of umbilical cord milking versus delayed cord clamping on neonatal outcomes in preterm infants: A systematic review and meta-analysis

This study suggests that UCM may lower the risk of IVH and improve certain neurodevelopmental outcomes compared to DCC in preterm infants.

[Focus on placental transfusion for preterm neonates: Delayed cord clamping and/or milking?]

Term babies with delayed cord clamping: an approach in preventing anemia*

Term babies to whom delayed cord clamping was performed had improved hematological parameters at the end of second month, therefore, delaying cord clampers in these babies may be a favorible approach in preventing anemia.

Cord stripping in preterm neonates

The interesting observation that cord stripping reduced haematocrit in infants equal to or above 28 weeks, but increased it in those less than 28 weeks is perhaps most likely due to chance.

Implementation of Delayed Cord Clamping in Vigorous Preterm Neonates

  • Gabi AliyevA. Gallo
  • Medicine
    Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
  • 2018



Milking Compared With Delayed Cord Clamping to Increase Placental Transfusion in Preterm Neonates: A Randomized Controlled Trial

Milking the cord four times achieved a similar amount of placento-fetal blood transfusion compared with delaying clamping the cord for 30 seconds, and there was no significant difference in number of neonates undergoing transfusion.

Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes.

A more liberal approach to delaying clamping of the umbilical cord in healthy term infants appears to be warranted, in light of early iron stores in haemoglobin concentrations, which is likely delayed that jaundice is available for long as access to phototherapy requiring phototherapy.

Effects of delayed cord clamping in very-low-birth-weight infants

A higher hematocrit is achieved by DCC in very-low-birth-weight infants, suggesting effective placental transfusion, and a randomized unmasked controlled trial was performed.

Delayed cord clamping and blood flow in the superior vena cava in preterm infants: an observational study

Blood flow in the SVC was higher in infants where delayed Cord clamping was performed, and the relationship of IVH, low flow and timing of cord clamping requires further study.

Placental Transfusion: Umbilical Cord Clamping and Preterm Infants

DCC significantly reduced the requirement for blood and albumin transfusion and increased the initial hematocrit, RBC count, Hgb levels, and MBP, and the risks of patent ductus arteriosus, hyperbilirubinemia, or intraventricular hemorrhage were similar in both groups.

Effect of delayed versus early umbilical cord clamping on neonatal outcomes and iron status at 4 months: a randomised controlled trial

Delayed cord clamping appears to benefit full term infants even in regions with a relatively low prevalence of iron deficiency anaemia, as iron deficiency in infants even without anaemia has been associated with impaired development.

Umbilical cord milking reduces the need for red cell transfusions and improves neonatal adaptation in infants born at less than 29 weeks’ gestation: a randomised controlled trial

Milking the umbilical cord is a safe procedure, reducing the need for RBC transfusions, and theneed for circulatory and respiratory support in very preterm infants.

Effect of Delayed Versus Early Umbilical Cord Clamping on Neonatal Outcomes and Iron Status at 4 Months: A Randomized Controlled Trial

The evidence suggests that chorioamnionitis is not an independent risk factor for brain development issues and a full course of antenatal steroids does seem to reduce the adverse effects inflammation can have on the developing nervous system.

Blood pressure and urine output during the first 120 h of life in infants born at less than 29 weeks’ gestation related to umbilical cord milking

Umbilical cord milking may facilitate early stabilisation of both blood pressure and urine output in very low birth weight infants.