FIGO good practice recommendations on delayed umbilical cord clamping

Bianchi, Ana; Jacobsson, Bo; Mol, Ben Willem

doi:10.1002/ijgo.13841

Cited by 5 publications

(7 citation statements)

References 13 publications

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“…Documents were stratified into three categories with recommendations provided: population-based registries [1][2][3] ; prevention by maternal treatment [4][5][6] ; and fetal treatment imminent to delivery. [7][8][9]…”

Section: E D I T O R I a L Figo Good Practice Recommendations For Red...mentioning

confidence: 99%

“…Bianchi, Jacobsson, and Mol authored the good practice recommendations for delayed umbilical cord clamping. 9 A thorough rationale is provided. Improved neonatal hematologic indices and reduced hospital mortality have been shown when performed at various timelines (<34 weeks; <28 weeks).…”

Section: Obs Te Tric Almanag Ement Imminenttodeliveryofneonatementioning

confidence: 99%

“…Bianchi, Jacobsson, and Mol authored the good practice recommendations for delayed umbilical cord clamping 9 . A thorough rationale is provided.…”

Section: Obstetrical Management Imminent To Delivery Of Neonatementioning

confidence: 99%

“…When consensus was reached, Working Group recommendations were in alignment with FIGO policy. Documents were stratified into three categories with recommendations provided: population‐based registries 1–3 ; prevention by maternal treatment 4–6 ; and fetal treatment imminent to delivery 7–9 …”

mentioning

confidence: 99%

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FIGO good practice recommendations for reducing preterm birth and improving child outcomes

Jacobsson

Simpson

2021

Intl J Gynecology & Obste

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Section: E D I T O R I a L Figo Good Practice Recommendations For Red...mentioning

confidence: 99%

Section: Obs Te Tric Almanag Ement Imminenttodeliveryofneonatementioning

confidence: 99%

“…Bianchi, Jacobsson, and Mol authored the good practice recommendations for delayed umbilical cord clamping 9 . A thorough rationale is provided.…”

Section: Obstetrical Management Imminent To Delivery Of Neonatementioning

confidence: 99%

mentioning

confidence: 99%

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FIGO good practice recommendations for reducing preterm birth and improving child outcomes

Jacobsson

Simpson

2021

Intl J Gynecology & Obste

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“…46,47 Further, delayed cord clamping per se is associated with some long-term benefits, making interpretation of long-term follow-up results that include populations with both early and delayed cord clamping difficult. [48][49][50] Another explanation for the BSID test result may be confounding factors, as discussed under the study's limitations.…”

Section: Discussionmentioning

confidence: 99%

Umbilical cord blood acid–base analysis at birth and long‐term neurodevelopmental outcomes in children: a systematic review and meta‐analysis

Myrhaug

Kaasen

Pay

et al. 2023

BJOG

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Background Umbilical cord blood acid–base sampling is routinely performed at many hospitals. Recent studies have questioned this practice and the association of acidosis with cerebral palsy. Objective To investigate the associations between the results of umbilical cord blood acid–base analysis at birth and long‐term neurodevelopmental outcomes and mortality in children. Search strategy We searched six databases using the search strategy: umbilical cord AND outcomes. Selection criteria Randomised controlled trials, cohorts and case–control studies from high‐income countries that investigated the association between umbilical cord blood analysis and neurodevelopmental outcomes and mortality from 1 year after birth in children born at term. Data collection and analysis We critically assessed the included studies, extracted data and conducted meta‐analyses comparing adverse outcomes between children with and without acidosis, and the mean proportions of adverse outcomes. The certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluations approach. Main results We have very low confidence in the following findings: acidosis was associated with higher cognitive development scores compared with non‐acidosis (mean difference 5.18, 95% CI 0.84–9.52; n = two studies). Children with acidosis also showed a tendency towards higher risk of death (relative risk [RR] 5.72, 95% CI 0.90–36.27; n = four studies) and CP (RR 3.40, 95% CI 0.86–13.39; n = four studies), although this was not statistically significant. The proportion of children with CP was 2.39/1000 across the studies, assessed as high certainty evidence. Conclusion Due to low certainty of evidence, the associations between umbilical cord blood gas analysis at delivery and long‐term neurodevelopmental outcomes in children remains unclear.

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