Effects of delayed cord clamping on infants after neonatal period: A systematic review and meta-analysis

Zhao, Youjian; Hou, Rui; Zhu, Xiu; Ren, Lihua; Lu, Hong

doi:10.1016/j.ijnurstu.2019.01.012

Cited by 29 publications

(31 citation statements)

References 35 publications

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“…Les bénéfices du CRC chez les prématurés de grossesse monofoetale se prolongent après la période néonatale. Une récente méta-analyse d'ECR a révélé que de 6 à 10 semaines après la naissance avant terme, le CRC avait légèrement augmenté l'hématocrite (DM : 1,09; IC à 95 % : 0,72-1,47) et le taux sérique de ferritine (DM : 0,38; IC à 95 % : 0,01-0,74) 12 .…”

Section: Après La Période Néonataleunclassified

“…Chez les nourrissons de grossesse monofoetale à terme, les bénéfices du CRC après la période néonatale sont démontrés presque exclusivement dans les ECR sur le CRC à plus de 60 secondes. Ces essais montrent une amélioration significative des taux d'hémoglobine, de fer, de ferritine et de saturation de la transferrine avec de plus faibles taux de carence en fer à différents moments entre 4 et 12 mois (RR : 0,68; IC à 95 % : 0,49-0,94 dans une méta-analyse de 20 ECR) 12 .…”

Section: Après La Période Néonataleunclassified

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Directive clinique no 424 : Prise en charge du cordon ombilical chez le nourrisson prématuré ou à terme

McDonald¹,

Narvey

Ehman

et al. 2022

Journal of Obstetrics and Gynaecology Canada

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Section: Après La Période Néonataleunclassified

Directive clinique no 424 : Prise en charge du cordon ombilical chez le nourrisson prématuré ou à terme

McDonald¹,

Narvey

Ehman

et al. 2022

Journal of Obstetrics and Gynaecology Canada

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“…LCC is recommended by the WHO. In evidence-based studies, it has been emphasized that LCC increases hemoglobin and hematocrit levels and therefore has hematological advantages (25,26,(29)(30)(31)(32)(33). Similarly, Htc and Hgb values were significantly higher in the experimental group newborns at the 24 th hour postpartum.…”

Section: Discussionmentioning

confidence: 93%

The Effects of Cord Clamping Time and Early Skin-to-Skin Contact on Maternal Birth Satisfaction in Term Infants

Karakoç

Genç

Çelikel

2020

Clinical and Experimental Health Sciences

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Objective: Meeting the expectations of mothers during labor is defined as birth satisfaction. Evaluation of women's perception of satisfaction at birth is an important quality criterion in the evaluation of services. This study aims to determine the effect of cord clamping time and early skin contact on maternal birth satisfaction. Methods: Randomized controlled experimental study. The study data were collected between June and December 2018, from a total of 80 participants. Results: Case group was applied late cord clamping and skin contact, control group was applied routine care. The first breastfeeding time was 11.20 ± 5.16 min. for the case group and 44.55 ± 18.03 min. for the control group (p<0.001). Neonatal blood glucose levels within the first 15 minutes were 91.23 ± 20.61 mg/dL for the case group and 83.13 ± 14.17 mg/dL for the control group (p=0.044). Hemoglobin levels of the newborn 24 hours after birth were 18.90 ± 1.58 g/dL for the case group and 18.13 ± 1.78 g/dL for the control group (p=0.042). The difference between the before and after birth hemoglobin-hematocrit values of the mothers was not statistically significant (p=0.327 for Hgb; p=0.238 fot Htc). Postpartum satisfaction levels of the mothers were found to be 106.28 ± 9.52 for the case group and 99.93 ± 13.17 for the control group; mothers at the case group had higher postpartum satisfaction levels (p=0.016). Conclusion: Late cord clamping and early skin contact in newborn positively affect the first breastfeeding time, hemoglobin, hematocrit and blood sugar levels of newborns and can be considered as an important factor that increases mothers' satisfaction independent of many variables.

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“…11 Iron deficiency is the most common micronutrient deficiency in the world and affects 13.5% of toddlers in the United States. 23 The positive effect on reducing the incidence of anemia 24 and improving neurodevelopment in humans 25 by DCC is no longer theoretical. Despite the high percentage of responders who practiced/witnessed DCC, there continues to be room for improvement.…”

Section: Discussionmentioning

confidence: 99%

A Questionnaire Assessing Utilization of Delayed Cord Clamping

Uduwana

Nemerofsky

2021

Am J Perinatol

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Objective The study aimed to assess the practice of delayed cord clamping (DCC) and the awareness of its benefits for newborns between Obstetric (OB) and neonatal physicians. We examined if provider characteristics including years of experience, level of training, familiarity of the American College of Obstetricians and Gynecologists (ACOG)/American Academy of Pediatrics (AAP) recommendations, institutional policy, and the racial and ethnic background of patient population were associated with implementation of DCC. Study Design This research is a cross-sectional online questionnaire study. Results 975 questionnaires were returned. Overall, the awareness of ACOG versus AAP recommendations was 94 versus 86% (p < 0.01). 86 versus 78% of OB and neonatal physicians practiced or witnessed DCC >50% of the time, respectively (p < 0.01). An equal number of OB and neonatal physicians believed in the benefits to newborns of DCC. Physicians with >10 years of practice were less likely to acknowledge DCC benefits. Physicians with a majority of non-White patients were less likely to practice/witness DCC (p < 0.05). Conclusion There continues to be room for improvement in the practice of DCC. Institutional policies and awareness of ACOG/AAP recommendations impact the understanding of the benefits of DCC and the likelihood of the practice. There is a significant difference in the practice of DCC among patients with different racial backgrounds. Hospital leadership may consider investing in the education and implementation of updated guidelines to ensure DCC is routinely practiced. Key Points

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Effects of delayed cord clamping on infants after neonatal period: A systematic review and meta-analysis

Cited by 29 publications

References 35 publications

Directive clinique no 424 : Prise en charge du cordon ombilical chez le nourrisson prématuré ou à terme

Directive clinique no 424 : Prise en charge du cordon ombilical chez le nourrisson prématuré ou à terme

The Effects of Cord Clamping Time and Early Skin-to-Skin Contact on Maternal Birth Satisfaction in Term Infants

A Questionnaire Assessing Utilization of Delayed Cord Clamping

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