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    When is the best time to clamp the umbilical cord after routine vaginal delivery?

    Hendrick, Angela
    Neher, Jon O.
    Safranek, Sarah
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    [PDF] BestTimeClampUmbilical.pdf (244.3Kb)
    Date
    2011-05
    Format
    Article
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    Abstract
    Sometime between 30 seconds and 2 minutes after delivery appears to be the best interval. In term infants, delayed clamping (waiting 1 or 2 minutes or until the cord stops pulsating) improves hemoglobin and ferritin levels, but slightly increases the risk of neonatal jaundice requiring phototherapy (strength of recommendation [SOR]: A, meta-analysis). In preterm infants less than 37 weeks of age, cord clamping between 30 and 120 seconds after delivery reduces the need for blood transfusion (number needed to treat [NNT]=4) and frequency of intraventricular hemorrhage (NNT=8) compared with clamping in less than 20 seconds (SOR: A, meta-analyses).
    URI
    http://hdl.handle.net/10355/11901
    Part of
    Clinical Inquiries, 2011 (MU)
    Citation
    Journal of Family Practice, 60(5) 2011: 295-296.
    Rights
    OpenAccess.
    This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.
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    • Clinical Inquiries, 2011

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