Don’t proceed to the early clamping (before 1 minute after birth) of the umbilical cord.
Delayed cord clamping (2-3 minutes after birth) allows the blood passage from the placenta to the fetus to prevent anemia and to reinforce the iron stocks of the newborn, it also reduces the risk of necrotizing colitis. The delayed clamping is advantageous also for high prematurity babies (less than 32 weeks) and reduces their mortality.
Based on the scientific data available today there is no difference between delayed clamping and cord milking in terms of neonatal outcomes.
The only adverse effect reported, not confirmed by all authors, is the possible slight increase of the risk of hyperbilirubinemia (jaundice) requiring phototherapy.
The complex effects of the delayed cord clamping on neonatal cardiovascular system supporting the delay are analytically outlined in the SIN-SIMP-FNOC joint statement in which AOGOI participated as auditor.
1. Rabe H et al Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcome. Cochrane Database of Syst Rev. 2012 (8)
2. Backes CH et al Placental transfusion strategies in very preterm neonates. Obstet Gynecol 2014: (124): 47-56
3. Krueger MS et al Delayed cord clamping with and without cord stripping: a prospective randomized trial of preterm neonates. Am J Obstet Gynecol. 2015;212(3):394
4. McDonald SJ et al Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. Cochrane Database Syst Rev 2013 ( 7)
5. Documento congiunto SIN-SIMP- FNCO (a cui AOGOI ha partecipato in qualità di revisore): Raccomandazioni italiane per la gestione del clampaggio ed il milking del cordone ombelicale nel neonato a termine e pretermine. 2016
Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.