Australian maternity healthcare professionals’ knowledge, attitudes and practices relevant to cord blood banking, donation and clamp timing: A cross-sectional survey

Peberdy, Lisa; Young, Jeanine; Massey, Debbie; Kearney, Lauren

doi:10.1016/j.wombi.2020.11.005

Cited by 1 publication

(34 citation statements)

References 28 publications

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“…Studies that reported on family physicians have been incorporated with obstetrici ans. 11,14,[38][39][40]45 All aspects of third-stage labor management were reported and discussed in six papers included in this review. One paper 43 also reported and discussed cord blood milking, cord blood banking, and cord blood donation.…”

Section: Resultsmentioning

confidence: 99%

“…Midwives' knowledge and awareness of optimal cord clamping time were reported in five papers 33,35,36,40,45 . The most common questions focused on familiarity and/or knowledge of current guidelines, definitions of ECC and DCC, and associated risks and benefits of both.…”

Section: Resultsmentioning

confidence: 99%

“…46 Obstetricians' attitudes or perceptions of CCT were also reported in six papers. 15,16,[40][41][42]45 In contrast to midwifery findings, almost all obstetricians and family physicians agreed with guidelines that included ECC. 16,40 These differences may be due, at least in part, to obstetricians being more focused on avoiding and responding to maternal and infant complications such as postpartum hemorrhage, resuscitation, and the need for infant cord blood gas collection.…”

Section: Attitudes Opinions and Perceptions Of Early Vs Deferred Cord...mentioning

confidence: 97%

“…The majority of midwives defined ECC for term infants as immediately or within one minute of birth, 33,35,45 and DCC as once cord pulsations ceased. 33,35,36,45 Obstetricians' knowledge and awareness of optimal cord clamping time was reported in six studies. 15,16,35,36,40,45 Obstetricians, such as midwives, were familiar with current guidelines that at the time included ECC as part of third-stage labor management.…”

Section: Knowledge and Awareness Of Optimal Cord Clamping Timementioning

confidence: 99%

“…Reference lists of selected articles were also examined for relevant publications, which met review inclusion criteria. 11,[14][15][16][32][33][34][35][36][37][38][39][40][41][42][43][44][45] Empirical studies selected for this review used quantitative (n = 15) and qualitative designs (n = 3). Cross-sectional survey design was frequently used (n = 13) [14][15][16][32][33][34][35][36]39,40,[43][44][45] ; and/or observational audit…”

Section: Samples and Settingsmentioning

confidence: 99%

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Integrated review of the knowledge, attitudes, and practices of maternity health care professionals concerning umbilical cord clamping

Peberdy

Young

Massey

et al. 2022

Birth

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Background: Umbilical cord clamp timing has implications for newborn health, which include increased iron stores up to 6 months of age. National and International cord clamping guidelines differ as do health professionals' practices. The rationale for differences in cord clamping practice is unclear.Aims and objective: Studies on the knowledge, attitudes, and practices of maternity health care professionals about cord clamp timing were synthesized.Similarities and differences between professional groups and understanding of the optimal timing of cord clamp timing for term newborns were compared.Methods: An integrative review was undertaken. PubMed, Scopus, MIDIRS, CINAHL, and Google Scholar were searched. Publication date limits were set between January 2007 and December 2020. Quality appraisal was undertaken using the Critical Appraisal Skills Program (CASP) tools.Results: Eighteen studies met inclusion criteria, as they included primary research studies that investigated maternity health care professionals' knowledge, attitudes, and practices about umbilical cord clamping, and were written in English. Four main subject areas were identified: a) knowledge of optimal cord clamp timing; b) attitudes and perceptions of early vs deferred cord clamping; c) cord clamping practice; and d) rationale for cord clamping practice.Conclusions: Different attitudes and practices were identified between midwifery and medical professionals in relation to cord clamp timing together with health professional knowledge and practice gaps pertaining to optimal cord clamp timing. Contemporary evidence should inform guidelines for clinical practice and be embedded into maternity health professional curricula and professional development programs.

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