Navigation Links
Health risks, benefits come with delayed umbilical cord clamping
Date:4/15/2008

Waiting just a few minutes to clamp the umbilical cord after a baby is born could boost iron stores in the newborns blood, but delayed cord clamping comes with an increased risk of jaundice, according to a new review of studies.

Clamping the cord within 30 to 60 seconds after birth is one of three steps in an active management approach to the third stage of labor, a time when a new mother is vulnerable to excessive blood loss. Studies show that active management reduces the risk for hemorrhage, but now lead review author Susan McDonald and other investigators are refining that research.

Weve started to ask Is it necessary that we do all three" Which part of this is most important" Did timing of clamping the cord make a difference" said McDonald, a professor of midwifery at La Trobe University and the Mercy Hospital for Women in Melbourne, Australia.

McDonald said of the studies included in the review: We found in terms of the amount of bleeding, delayed clamping did not increase the mothers risk of bleeding.

The review appears in the latest issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates medical research. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing medical trials on a topic.

The review of 11 studies evaluates the maternal and infant benefits of delaying cord clamping until after the cord stops pulsing, a sign that blood is no longer flowing between the mothers placenta and the baby.

McDonald said in most cases the time difference between early and late cord clamping is just one or two minutes, but the delay allows for an additional infusion of blood from mother to child.

McDonalds analysis found that newborns in the delayed-clamping group had larger stores of iron in their blood. The amount of iron in the blood at birth can influence health, particularly an infants risk for anemia in the first months of life.

However, the study also found that infants in the delayed-clamping group were more vulnerable to jaundice. Many babies get a mild form of jaundice at birth because the liver is immature and cannot process bilirubin, a yellow byproduct of the breakdown of old red blood cells.

When the liver cant process all the bilirubin it tends to get pushed out to the tissue and the baby looks a little bit yellow, McDonald said.

Most newborn jaundice subsides without treatment or is treated with simple exposure to sunlight. The review found that infants in the delayed-clamping group had a higher risk for jaundice that needed extra treatment with phototherapy.

In most places in Western countries where there is a higher income, people have access to hospitals where babies can get that therapy, McDonald said.

But if you are working in an area where you dont have easy access to treat a child with more severe jaundice, then as a clinician you would need to weigh up the benefits and risks. Allowing the baby to get the extra blood and maybe become jaundiced is a particular problem if you dont have the facilities. In that case, perhaps, you would err on the side of clamping the cord a little earlier, she said.

Theres a happy medium you try to strike, said Joyce Roberts, a certified nurse midwife, professor and coordinator of the Nurse-Midwifery Track at the University of Michigan School of Nursing.

Roberts said many midwives put the baby on the mothers abdomen, above the level of the placenta, so blood continues to flow, but not to excess.


'/>"/>

Contact: Lisa Esposito
hbns-editor@cfah.org
Center for the Advancement of Health
Source:Eurekalert

Related medicine news :

1. Hereditary breast cancer -- a high cost to patient and health care provider alike
2. Susan Byrne joins GHG Grey Healthcare Group as EVP, Strategy and Business Development, Europe, a Newly-Created Position
3. Joint Center Sees Social Determinants of Health as Key to Reducing Disparities at Annual Fund-raising Gala
4. Jennifer Samuels Joins GHG Grey Healthcare Group as Executive Vice President, Account Services
5. Air pollution affects respiratory health in children with asthma
6. HEALTHCARE TECH AND THE WORLD: HOW INFORMATION TECHNOLOGY CAN IMPACT THE PURSUIT OF PERFECT CARE
7. AUDIO from Medialink and Apple Products Research and Education Council: New Research -- Adults Who Eat Apples, Apple Juice Have Healthier Diets and Lower Risk for Metabolic Syndrome
8. CDC and Retail Health Clinic Leaders Explore Improving Prevention, Surveillance and Emergency Response
9. HealthSouth Announces Date of 2008 First Quarter Earnings Conference Call
10. Avalere Health Data Finds Four-Tier System Growing Among Medicare Part D Plans
11. Texas Health Care Association: New Report on Long Term Care Workforce Spotlights Need to Boost Texas Medicaid Rates
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... Montreal, Canada (PRWEB) , ... June 25, 2016 , ... ... the pursuit of success. In terms of the latter, setting the bar too high ... low, risk more than just slow progress toward their goal. , Research from ...
(Date:6/24/2016)... ... June 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was ... his family verbally and physically. , “When something upset him, he couldn’t control his emotions,” ... He would throw rocks at my other children and say he was going to kill ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San Diego, ... and the Road To Recovery® program to drive cancer patients to and from their ... to ensure the highest quality of life and ongoing independence. Getting to and ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Haute Beauty Network, affiliated ... Weintraub as a prominent plastic surgeon and the network’s newest partner. , ... most handsome men, look naturally attractive. Plastic surgery should be invisible.” He stands ...
(Date:6/24/2016)... ... ... Venture Construction Group (VCG) sponsors Luke’s Wings 5th Annual ... Country Club at 1201 Rockville Pike, Rockville, Maryland, 20852. The event raised funds ... been wounded in battle and their families. Venture Construction Group is a 2016 Silver ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... June 24, 2016   Pulmatrix, Inc ., (NASDAQ: ... innovative inhaled drugs, announced today that it was added ... reconstituted its comprehensive set of U.S. and global ... is an important milestone for Pulmatrix," said Chief Executive ... awareness of our progress in developing drugs for crucial ...
(Date:6/23/2016)... , June 23, 2016 Any dentist who ... challenges of the current process. Many of them do not ... the technical difficulties and high laboratory costs involved. And those ... offer it at such a high cost that the majority ... Dr. Parsa Zadeh , founder of Dental ...
(Date:6/23/2016)... , June 23, 2016 ... CAPR ), a biotechnology company focused on the ... announced that patient enrollment in its ongoing randomized ... has exceeded 50% of its 24-patient target. Capricor ... the third quarter of 2016, and to report ...
Breaking Medicine Technology: