Reduced mortality and neurological injury of pre-term infants when delayed cord clamping occurs

Delayed cord clamping (DCC) after delivery is defined as waiting to clamp the umbilical cord 30-60 seconds after birth according to the American College of Obstetricians and Gynecologists (ACOG). It is now a recommended practice as of 2016, showing not only benefits among term infants, but especially among preterm infants (ACOG, 2016). Some of the benefits among preterm neonates include: 

  • - Reduced need for blood transfusions 
  • Circulatory stability 
  • - Improved blood pressure 
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A recent study specifically sought to determine if DCC is associated with “reduced odds of severe neurological injury or mortality in extremely low-gestational-age neonates (Lodha et al, 2019)”. Looking at records collected for the Canadian Neonatal Network, they analyzed data from over 4600 extremely preterm neonates (22-28 weeks gestation). 

 

The researchers separated the infants into two categories – DCC in one group and Immediate Cord Clamping (ICC) in another. There was a significant reduction in the odds of neurological injury or mortality in the group where DCC was done (Lodha et al, 2019).  They recommend further research to best guide practicioners in factors such as the optimal time and position of the clamping. 

 

If you or a loved one has a question about what may have occurred during the birth of a child, contact the Holton Law Firm. Call us toll free at 888-443-4387. 

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