Effects of early umbilical cord clamping versus delayed clamping on maternal and neonatal outcomes: a Jordanian study

Abstract

Objective: To compare the effects of early versus delayed cord clamping of term births on maternal and neonatal outcomes. Method: A quasi-experimental study was conducted at the Jordan University Hospital in Amman. One hundred twenty-eight mothers expecting a full-term singleton baby were assigned to delayed cord clamping (90 seconds) or early cord clamping (<30 seconds). Results: Delayed cord clamping was associated with higher hemoglobin levels among newborns after 12 hours. On the other hand, early cord clamping was associated with an increased need for oxygen therapy among newborns and occurrence of postpartum hemorrhage among mothers. There were no differences between the groups on any other variable (Apgar score at 1 and 5 minutes, admission to NICU, baby bilirubin levels after 12 hours and day 3 of birth, and mothers' Hb levels after 12 hours of childbirth). Conclusion: Term babies receiving delayed cord clamping had improved hemoglobin levels with no adverse effect on other maternal and neonatal variables. Creating evidence-based practice guidelines for umbilical cord clamping in Jordanian hospitals is essential to improve neonatal and maternal health.

A randomized controlled study of immediate versus delayed umbilical cord clamping in infants born by elective caesarean section

“…The timing of cord clamping was 180 s or longer demonstrating neurodevelopmental benefits in low-risk populations [17,18]. DCC after one minute is a practice that has been shown to be beneficial in spontaneous births [19][20][21]. The infants born by ECS showed a lower value of red blood cells than those birth by VD.…”

“…The factors that affect placental transfusion appear to be uterine contractility. CS reduces placental transfusion due to maternal hypotension and insufficient uterine contractions [11][12][13][14][15][16][17][18][19][20][21][22]. Such reduction is even more pronounced by ECS than in emergency CS [11].…”

Influence of delayed umbilical cord clamping on pain during suture of perineal tears: A randomised controlled study

“…Delayed umbilical cord clamping can increase neonatal blood volume and reduce neonatal anaemia and related complications caused by iron deficiency; in addition, it can significantly reduce intraventricular haemorrhage in premature infants and improve some aspects of nervous system development in premature infants with no adverse effects on maternal health (Andersson et al., 2015; Mohammad et al., 2019; Nagano et al., 2018; Rabe, Diaz‐Rossello, Duley, & Dowswell, 2012). According to our review of the literature, studies of the effect of delayed umbilical cord clamping on the suture pain of maternal perineal wounds have not been conducted.…”

“…Delayed umbilical cord clamping means that the umbilical cord is clamped 30 to 90 s after delivery or after the umbilical cord pulsation disappears spontaneously (Mohammad, Tailakh, Fram, & Creedy, 2019; Qian, Ying, Wang, Lu, & Hua, 2019); at present, this line of research is also the focus of clinical attention. The umbilical cord is the channel for nutrient metabolism and material exchange between foetus and mother.…”

Early or delayed umbilical cord clamping? Experiences and perceptions of nurse-midwives and obstetricians at a regional referral hospital in Tanzania

“…Even in high-income countries like the USA, the current literature on the timing of cord clamping is not reflected in the practice [40]. Several studies have revealed the benefits in placental transfusion, increased haematocrit level, cerebral oxygenation and blood pressure, gradual transition to extrauterine, and long-term neurodevelopmental outcomes [5,9,[41][42][43].…”