The optimal time for umbilical cord clamping after birth remains a critical unknown fact that has implications for the infant, the mother, and science. A national survey was conducted using a randomized sample (n = 303) of the active membership of the ACNM to determine cord clamping practices and beliefs of American nurse-midwives. The response rate was 56%. The respondents fell into three cord...

The optimal time to clamp the umbilical cord in preterm and full-term neonates after birth continues to be a matter of debate. A review of randomised controlled trials comparing the effects of early versus late cord clamping on maternal and infant outcomes was performed to assess data in favor of immediate or delayed clamping. Although there is no conclusive evidence, delayed cord clamping seem...

conclusion we suggest the standard cefazolin prophylaxis (after cord clamping) for elective cesarean section and cefazolin before incision for non elective cesarean section. therefore, administration of prophylactic cefazolin prior to incision will not increase the rate of neonatal sepsis. compared between these groups. results two groups were demographically identical. rate of iv line need (rr...

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...

OBJECTIVES For very preterm births, to compare alternative policies for umbilical cord clamping and immediate neonatal care. DESIGN Parallel group randomised (1:1) trial, using sealed opaque numbered envelopes. SETTING Eight UK tertiary maternity units. PARTICIPANTS 261 women expected to have a live birth before 32 weeks, and their 276 babies. INTERVENTIONS Cord clamping after at least ...

This study was conducted to evaluate the haematological effects of the timing of umbilical cord clamping in term infants 24 h after birth in Libya. Mother-infant pairs were randomly assigned to early cord clamping (within 10s after delivery) or delayed clamping (after the cord stopped pulsating). Maternal haematological status was assessed on admission in the delivery room. Infant haematologica...

OBJECTIVE To investigate the effects of interventions promoting placental transfusion at delivery (delayed cord clamping or umbilical cord milking) compared with early cord clamping on outcomes among premature neonates of less than 32 weeks of gestation. DATA SOURCES A systematic search was conducted of PubMed, Embase, and ClinicalTrials.gov databases (January 1965 to December 2013) for artic...

OBJECTIVE To evaluate the short term clinical effects of delayed cord clamping in preterm neonates. DESIGN Randomized controlled trial. SETTING A tertiary care neonatal unit from October 2013 to September 2014. PARTICIPANTS 78 mothers with preterm labor between 27 to 316/7 weeks gestation. INTERVENTION Early cord clamping (10 s), delayed cord clamping (60 s) or delayed cord clamping (60...

BACKGROUND Optimal timing for clamping of the umbilical cord at birth is unclear. Early clamping allows for immediate resuscitation of the newborn. Delaying clamping may facilitate transfusion of blood between the placenta and the baby. OBJECTIVES To delineate the short- and long-term effects for infants born at less than 37 completed weeks' gestation, and their mothers, of early compared to ...

Background and aim: Although nuchal cord is a common occurrence at birth, there is little attention to its importance or management at birth, and teaching includes premature clamping and cutting of the cord as the common option.  Although grade 1 evidence is lacking, the optimal management of the nuchal cord,  the Somersault manoeuvre  is not taught or included in any current guidelines. What e...