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Delayed umbilical cord clamping – benefits and risks


Authors: Tomáš Fait 1,2 ;  J. Janota 1
Authors place of work: Gynekologicko-porodnická klinika 2. LF UK a FN Motol, Praha 1;  Katedra zdravotnických studií, VŠP Jihlava 2
Published in the journal: Ceska Gynekol 2022; 87(6): 424-426
Category: Přehledový článek
doi: https://doi.org/10.48095/cccg2022424

Summary

Delayed umbilical cord clamping is a standard procedure for active management of the 3rd stage of labour. There are benefits associated with more than a 30 second delay, but 1 minute is usually recommended. For newborns, increased iron reserves are important having a positive impact on further development. A reduction in the risk of necrotizing enterocolitis and intraventricular hemorrhage is often reported in preterm births. In delayed umbilical cord clamping, no increased maternal blood loss was recorded, even in multiple pregnancies and caesarean sections.

Keywords:

Postpartum hemorrhage – delayed umbilical cord clamping – milking – intraventricular hemorrhage


Zdroje

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2. Alistair AG, Saroj S. When should we clamp the umbilical cord? Neoreview 2004; 5 (4): e142–e154: doi: 10.1542/neo.5-4-e142.

3. Linderkamp O, Nelle M, Kraus M et al. The effect of early and late cord-clamping on blood viscosity and other hemorheological parameters in full-term neonates. Acta Paediatr 1992; 81 (10): 745–750. doi: 10.1111/j.1651-2227.1992.tb12095.x.

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11. Fogarty M, Osborn DA, Askie L et al. Delayed vs early umbilical cord clamping for preterm infants: a systematic review and mata-analysis. Am J Obstet Gynecol 2018; 218 (1): 1–18. doi: 10.1016/j.ajog.2017.10.23.

12. Chantry CJ, Blanton A, Taché V et al. Delayed cord clamping during elective cesarean deliveries: result of a pilot safety trial. Matern Health Neonatol Perinatol 2018; 4: 16. doi: 10.1186/s40748-018-0083-3.

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Štítky
Dětská gynekologie Gynekologie a porodnictví Reprodukční medicína

Článek vyšel v časopise

Česká gynekologie

Číslo 6

2022 Číslo 6
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