When is the best time to clamp the umbilical cord after a routine term vaginal delivery?
When is the best time to clamp the umbilical cord after a routine term vaginal delivery? Evidence-Based Answer: Delayed cord clamping (after 1-5 minutes) is associated with increased infant birth weight and hemoglobin concentration (Hgb), but it is also associated with an increased risk of jaundice and need for phototherapy (SOR: B, systematic review of RCTs with moderate risk of bias). Early cord clamping (before 1 minute) is associated with decreased iron stores at 3 to 6 months, but not at 12 months (SOR: C, diseaseoriented outcome). Evidence remains insufficient for or against delayed cord clamping in term infants (SOR: C, committee opinion).
Evidence-based practice 18, no. 06 (2015): 10-11