Perspectives on Implementing Delayed Cord Clamping

Expanding evidence supports delayed cord clamping (DCC) for both term and preterm infants. This article explores issues that may be keeping early cord clamping (ECC) in place as usual practice. Professional organizations almost universally recommend DCC for preterm infants, but some reserve recommen...

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Bibliographic Details
Published inNursing for women's health Vol. 19; no. 2; pp. 164 - 176
Main Author Leslie, Mayri Sagady
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.04.2015
Subjects
Constriction
delayed cord clamping
Delivery, Obstetric - adverse effects
Delivery, Obstetric - methods
Delivery, Obstetric - nursing
evidence‐based practice
Female
Humans
infant anemia
Infant, Newborn
Nursing
placental transfusion
practice change
Pregnancy
Time Factors
Umbilical Cord - blood supply
Umbilical Cord - surgery
United States > US
placental transfusion
evidence‐based practice
practice change
delayed cord clamping
infant anemia
evidence-based practice
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Summary:Expanding evidence supports delayed cord clamping (DCC) for both term and preterm infants. This article explores issues that may be keeping early cord clamping (ECC) in place as usual practice. Professional organizations almost universally recommend DCC for preterm infants, but some reserve recommending it for term infants only in resource‐poor settings. Concerns about polycythemia and jaundice persist in the literature, while years of published randomized controlled trials do not support the assumptions behind the concerns. New data suggest that DCC may improve resuscitative efforts in compromised infants. Multiple perspectives are offered for consideration when thinking about incorporating DCC into practice.
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ObjectType-Evidence Based Healthcare-3
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ISSN:1751-4851
1751-486X
DOI:10.1111/1751-486X.12188