{"id":5444,"date":"2020-05-27T19:41:23","date_gmt":"2020-05-27T17:41:23","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/?post_type=raccomandazione-prof&#038;p=5444"},"modified":"2020-05-28T18:59:33","modified_gmt":"2020-05-28T16:59:33","slug":"dont-proceed-to-the-early-clamping-before-1-minute-after-birth-of-the-umbilical-cord","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/dont-proceed-to-the-early-clamping-before-1-minute-after-birth-of-the-umbilical-cord\/","title":{"rendered":"Don\u2019t proceed to the early clamping (before 1 minute after birth) of the umbilical cord."},"content":{"rendered":"<p>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.<br \/>\nBased on the scientific data available today there is no difference between delayed clamping and cord milking in terms of neonatal outcomes.<br \/>\nThe only adverse effect reported, not confirmed by all authors, is the possible slight increase of the risk of hyperbilirubinemia (jaundice) requiring phototherapy.<br \/>\nThe 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.<\/p>\n","protected":false},"featured_media":4583,"template":"","meta":{"_wpml_word_count":["{\"total\":307,\"to_translate\":{\"it\":307}}"],"_wpv_contains_gutenberg_views":[""],"_layouts_template":["modello-per-raccomandazioni-professionista"],"_wp_page_template":["default"],"_edit_lock":["1590685200:2"],"_edit_last":["2"],"_wpml_media_duplicate":["1"],"_wpml_media_featured":["1"],"_wpml_location_migration_done":["1"],"_thumbnail_id":["4583"],"wpcf-pacchetto":["AOGOI #1"],"wpcf-bibliografia":["1.\tRabe 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) \r\n2.\tBackes CH et al Placental transfusion strategies in very preterm neonates. Obstet Gynecol 2014: (124): 47-56\r\n3.\tKrueger 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\r\n4.\tMcDonald SJ et al Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. Cochrane Database Syst Rev 2013 ( 7) \r\n5.\tDocumento congiunto SIN-SIMP- FNCO (a cui AOGOI ha partecipato in qualit\u00e0 di revisore):  Raccomandazioni italiane per la gestione del clampaggio ed il milking del cordone ombelicale nel neonato a termine e pretermine. 2016"],"wpcf-posizione-prof":["1"],"wpcf-collegare":["N"],"wpcf-link-intercheck-prof":["N"],"wpcf-pdfpdf-prosfessionista":["https:\/\/choosingwiselyitaly.org\/wp-content\/uploads\/2020\/05\/Scheda-AOGOI-engl.pdf"],"wpcf-area-ordinamento":["Obstetrics, Gynaecology and Perinatal Medicine"],"_et_dynamic_cached_shortcodes":["a:4:{i:0;s:13:\"et_pb_section\";i:1;s:9:\"et_pb_row\";i:2;s:12:\"et_pb_column\";i:50;s:10:\"et_pb_text\";}"],"_et_dynamic_cached_attributes":["a:0:{}"],"et_enqueued_post_fonts":["a:3:{s:6:\"family\";a:1:{s:15:\"et-gf-work-sans\";s:136:\"Work+Sans:100,200,300,regular,500,600,700,800,900,100italic,200italic,300italic,italic,500italic,600italic,700italic,800italic,900italic\";}s:6:\"subset\";a:2:{i:0;s:5:\"latin\";i:1;s:9:\"latin-ext\";}s:9:\"cache_key\";s:75:\"{\"gph\":-1,\"divi\":\"4.27.6\",\"wp\":\"6.9.4\",\"enable_all_character_sets\":\"false\"}\";}"]},"eta":[{"term_id":95,"name":"Pediatric","slug":"pediatric","term_group":0,"term_taxonomy_id":95,"taxonomy":"eta","description":"","parent":0,"count":172,"filter":"raw"}],"disciplina":[108],"tipologia":"Other treatments","class_list":["post-5444","raccomandazione-prof","type-raccomandazione-prof","status-publish","has-post-thumbnail","hentry","eta-pediatric","disciplina-obstetrics-gynaecology-and-perinatal-medicine","tipologia-other-treatments"],"_links":{"self":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/raccomandazione-prof\/5444","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/raccomandazione-prof"}],"about":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/types\/raccomandazione-prof"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media\/4583"}],"wp:attachment":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media?parent=5444"}],"wp:term":[{"taxonomy":"eta","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/eta?post=5444"},{"taxonomy":"disciplina","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/disciplina?post=5444"},{"taxonomy":"tipologia","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/tipologia?post=5444"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}