Optimal timing for clamping the umbilical cord after birth.

@article{Raju2012OptimalTF,
  title={Optimal timing for clamping the umbilical cord after birth.},
  author={Tonse N. K. Raju and Nalini Singhal},
  journal={Clinics in perinatology},
  year={2012},
  volume={39 4},
  pages={
          889-900
        }
}
  • T. Raju, N. Singhal
  • Published 1 December 2012
  • Economics, Psychology
  • Clinics in perinatology

Tables from this paper

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TLDR
Delayed Cord clamping in term and preterm infants was a simple, safe, and effective delivery procedure, which should be recommended, but the optimal cord clamping time remained controversial.
Optimal timing of umbilical cord clamping: Is the debate settled? Part 2 of 2: Evidence in preterm and term infants, alternatives, and unanswered questions
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The history of the delayed Cord clamping debate is presented, the rationale behind the use of delayed cord clamping from a physiologic standpoint, the factors that affect transfusion volume during a delay in cord clamped, and the concerns that exist are examined.
Optimal Timing of Umbilical Cord Clamping: Is the Debate Settled? Part 1 of 2: History, Rationale, Influencing Factors, and Concerns
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The history of the delayed cord clamping debate is presented, the rationale behind the use of delayed Cord clamping from a physiologic standpoint is discussed, the factors that affect transfusion volume during a delay in cords clamping are detailed, and the concerns that exist are examined.
The role of Delayed Cord Clamping in improving the Outcome in Preterm Babies
  • D. Ali, H. M. Talkhan
  • Medicine
    International Journal of Pediatrics, Neonatology and Primary Care
  • 2019
TLDR
DCC in preterm infants appears to be safe, feasible, and effective with no adverse consequences, and was associated with significant reduction in IVH and early red blood cell transfusions.
Effect of delayed cord clamping on very preterm infants.
Safety of Delayed Umbilical Cord Clamping in Preterm Neonates Less than 34 weeks Gestation: Correspondence
TLDR
Comments are offered on the use of delayed cord clamping, evaluation effect of DCC on intraventricular hemorrhage, necrotizing enterocolitis, and need for blood transfusion, and methods which create confusion to the readers.
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References

SHOWING 1-10 OF 59 REFERENCES
Timing of umbilical cord clamping: effect on iron endowment of the newborn and later iron status.
TLDR
The physiological basis for the impact of cord clamping time on total body iron at birth and the relationship between birth body iron, as affected by cord clamped time, and iron status later in infancy are described.
Delayed cord clamping may also be beneficial in rich settings
  • D. Hutchon
  • Medicine
    BMJ : British Medical Journal
  • 2006
TLDR
Delayed cord clamping reduces infant anaemia in resource poor settings, and neonatal anaemia is still important in developed countries.
Timing of umbilical cord clamping in term and preterm deliveries and infant and maternal outcomes: A systematic review of randomized controlled trials
TLDR
The issue is complicated by the fact that term babies, preterm babies and very premature babies could behave as different cohorts, making it difficult to develop an empiric guideline for timing of cord clamping across all gestations.
Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes.
TLDR
Late cord clamping can be advantageous for the infant by improving iron status which may be of clinical value particularly in infants where access to good nutrition is poor, although delaying clamping increases the risk of jaundice requiring phototherapy.
Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes.
TLDR
Providing additional placental blood to the preterm baby by either delaying cord clamping for 30 to 120 seconds, rather than early clamping, seems to be associated with less need for transfusion, better circulatory stability, less intraventricular haemorrhage (all grades) and lower risk for necrotising enterocolitis.
The effect of timing of cord clamping on neonatal venous hematocrit values and clinical outcome at term: a randomized, controlled trial.
TLDR
Delayed cord clamping at birth increases neonatal mean venous hematocrit within a physiologic range and seems to reduce the rate of neonatal anemia, and should be implemented to increase neonatal iron storage at birth.
Delayed cord clamping and haemoglobin levels in infancy: a randomised controlled trial in term babies
Objectives  This study was carried out to assess whether delaying umbilical cord clamping is effective in improving the haematological status of term infants living in a malaria‐endemic area, and
The Effect of Timing of Cord Clamping on Neonatal Venous Hematocrit Values and Clinical Outcome at Term: A Randomized, Controlled Trial
TLDR
Delayed cord clamping at birth increases neonatal mean venous hematocrit within a physiologic range and seems to reduce the rate of neonatal anemia, and should be implemented to increase neonatal iron storage at birth.
Effect of Timing of Cord Clamping on Neonatal Venous Hematocrit Values and Clinical Outcome at Term: A Randomized, Controlled Trial
TLDR
Delayed cord clamping at birth increases neonatal mean venous hematocrit within a physiologic range and seems to reduce the rate of neonatal anemia.
Early versus delayed umbilical cord clamping in preterm infants.
TLDR
Delaying cord clamping by 30 to 120 seconds, rather than early clamping, seems to be associated with less need for transfusion and less intraventricular haemorrhage, and there are no clear differences in other outcomes.
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