Maternal and Infant Outcomes After Different Methods of Umbilical Cord Management. Issue 3 (September 2020)

• Record Type: Journal Article
• Authors: Rabe, H.; Andersson, O.
• Is Part Of: Obstetric anesthesia digest. Volume 40:Issue 3(2020)
• Publication Date: 2020-09
• Subjects: Neonatal Morbidity and Mortality -- Maternal Morbidity and Mortality; Anesthesia in obstetrics -- Periodicals; Anesthesia in obstetrics -- Abstracts -- Periodicals; 617.968205
• DOI: 10.1097/01.aoa.0000693632.68145.d8
• Languages: English
• ISSNs: 0275-665X

Abstract

Abstract : ( JAMA . 2019;322:1864–1865) Immediate umbilical cord clamping after delivery had been the standard of care until more recent data suggested that volume expansion could lead to better outcomes in preterm infants. Accordingly, in 2014 the World Health Organization (WHO) recommended delaying cord clamping and cutting for at least 60 seconds for preterm infants and 1 to 3 minutes for term infants. This recommendation was based on evidence that the delay would allow placental transfusion to take place, thus improving neonatal outcomes such as higher iron values and improved neurodevelopmental outcomes. Since then, additional studies have been conducted that add to the knowledge around umbilical cord interventions, including 2 studies that were published in the same issue of the Journal of the American Medical Association upon which this editorial is written.