Navigation Links
Umbilical cord clamping should be delayed, says expert
Date:8/16/2007

Clamping and cutting of the umbilical cord should be delayed for three minutes after birth, particularly for pre-term infants, suggests a senior doctor in this weeks BMJ.

Early clamping and cutting of the umbilical cord is widely practised as part of the management of labour, but recent studies suggest that it may be harmful to the baby. The rate of early cord clamping varies widely in Europe, from 17% of units in Denmark to 90% in France.

So Dr Andrew Weeks, a senior lecturer in obstetrics at the University of Liverpool, looked at the evidence behind cord clamping.

For the mother, trials show that early cord clamping has no ill effects, he writes. But what about the baby"

At birth, he says, the umbilical cord sends oxygen-rich blood to the lungs until breathing establishes. So as long as the cord is unclamped, the average transfusion to the newborn is equivalent to 21% of the neonates final blood volume and three quarters of the transfusion occurs in the first minute after birth.

For babies born at term, the main effect of this large autotransfusion is to increase their iron status. This may be lifesaving in areas where anaemia is endemic.

In the developed world, however, there have been concerns that it could increase the risk of polycythaemia and hyperbilirubinaemia (abnormally high levels of red blood cells and bile pigments in the bloodstream, often leading to jaundice). But trials show this is not the case.

For pre-term babies the beneficial effects of delayed clamping may be greater, he says. Although the studies are smaller, delayed clamping is consistently associated with reductions in anaemia, bleeding in the brain (intraventricular haemorrhage), and the need for transfusion.

So how should we approach cord clamping in practice, he asks"

In normal deliveries, delaying cord clamping for three minutes with the baby on the mothers abdomen should not be too difficult.

The situation is a little more complex for babies born by caesarean section or for those who need support soon after birth. Nevertheless, it is these babies who may benefit most from a delay in cord clamping. For them, a policy of wait a minute would be pragmatic, he says.

There is now considerable evidence that early cord clamping does not benefit mothers or babies and may even be harmful, he writes. Both the World Health Organisation and the International Federation of Gynecology and Obstetrics (FIGO) have dropped the practice from their guidelines.

It is time for others to follow their lead and find practical ways of incorporating delayed cord clamping into delivery routines, he concludes.


'/>"/>

Contact: Emma Dickinson
edickinson@bmj.com
44-020-738-36529
BMJ-British Medical Journal
Source:Eurekalert

Related medicine news :

1. Now umbilical cord helps in stroke treatment.
2. Umbilical Cord Blood Could Predict Childhood Allergies
3. Umbilical Cord Blood Offers Hope For Patients Who Require Bone Marrow Transplants
4. A Novel System For Clinical Banking Of Umbilical Cord Blood
5. Delay Umbilical Cord Clamping in Pre Term Babies
6. Infants have better iron reserves if umbilical cord clamping is delayed
7. Doctor Dissuades Mothers from Umbilical Cord Banking
8. NHS Will Do Well to Curb Use Of Umbilical Cord Blood For Treatment of Cancers
9. Umbilical Cord Blood Industry Matures
10. Parents Bank Kids Umbilical Cord Blood
11. Umbilical Cord Blood Banking of Negligible Value: Experts
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/5/2016)... ... 2016 , ... For many years, Andrew G. Zubinas has accumulated ... beauty of the Lithuanian language and its poetry inspired him in writing ... lyrically explores all aspects of a living, breathing forest where nothing ever stays the ...
(Date:12/5/2016)... ... December 05, 2016 , ... T.E.N., ... that nominations will be accepted from December 5, 2016 through March 3, ... include the Information Security Executive® of the Year, which recognizes executives who ...
(Date:12/5/2016)... ... December 05, 2016 , ... Worldwise ®, a ... design firm kathy ireland® Worldwide for five additional years, announced by Kevin Fick, ... exclusive licensing agreement three years ago to design and develop the kathy ireland® ...
(Date:12/5/2016)... York, NY (PRWEB) , ... December 05, 2016 ... ... companies to use a patent-pending blend of L-Citrulline and glutathione to enhance production ... Blend, a combination that studies have shown to produce NO twice as effectively ...
(Date:12/5/2016)... Nashville, Tennessee (PRWEB) , ... ... ... leader in strategic interoperability, today announced that the company will provide alerting ... platform. CIHIE has been recently awarded $1.7 million in federal funds as ...
Breaking Medicine News(10 mins):
(Date:12/5/2016)...  Recently Zymo Research announced an exclusive license ... Horvath,s Clock. Based on this technology, Zymo Research ... academic and biopharma scientific researchers to determine the ... sperm. The service quantifies changes in ... chronological age following drug treatments and identifies disease ...
(Date:12/5/2016)... , Dec. 5, 2016  BD (Becton, Dickinson and ... medical technology company, will demonstrate an enhanced technology platform ... technologies, including the company,s leading Pyxis™ and Alaris™ systems, ... (ASHP) 2016 Midyear Meeting being held in ... While national data show that approximately 68 percent ...
(Date:12/5/2016)... 5, 2016 Research and Markets has announced ... Test Market Size, Share, Development, Growth and Demand Forecast to 2022" ... ... female fertility and pregnancy rapid test market is expected to grow ... and pregnancy rapid test market is witnessing high growth, due to ...
Breaking Medicine Technology: