Lesson of the Week: Iatrogenic ileal obstruction: a complication of umbilical cord clamping

Meckel's diverticulum complicating neonatal umbilical cord clamping.

Amale neonateweighing 3838 g was born at 39weeks of gestation by elective cesarean delivery due to breech presentation. The umbilical cord was clamped by the surgeon approximately 20 cm from the umbilical base and the neonate was transferred to the midwife for final clamping. The cord was clamped again at approximately 3 cm from the umbilical base. The residual umbilical cord was approximately ...

Is "Delayed Umbilical Cord Clamping" Beneficial for Premature Newborns?

Background: The appropriate moment for clamping the umbilical cord is controversial. Immediate cord clamping (ICC) is an item of active management of the third stage of labor (AMTSL). Unclamped umbilical cord may cause inconvenience in preterm neonates because they commonly need some levels of emergent services. Some studies revealed delayed cord clamping (DCC) of preterm neonates results in be...

Delayed Umbilical Cord Clamping After Birth.

Delayed umbilical cord clamping appears to be beneficial for term and preterm infants. In term infants, delayed umbilical cord clamping increases hemoglobin levels at birth and improves iron stores in the first several months of life, which may have a favorable effect on developmental outcomes. There is a small increase in jaundice that requires phototherapy in this group of infants. Consequent...

The timing of umbilical cord clamping at birth: physiological considerations

While it is now recognized that umbilical cord clamping (UCC) at birth is not necessarily an innocuous act, there is still much confusion concerning the potential benefits and harms of this common procedure. It is most commonly assumed that delaying UCC will automatically result in a time-dependent net placental-to-infant blood transfusion, irrespective of the infant's physiological state. Whet...

Clamping of the Umbilical Cord and Placental Transfusion