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Delayed Cord Clamping and Neonatal Outcomes
O'Rourke, JuliAnn Petosa, Allyson
O'Rourke, JuliAnn
Petosa, Allyson
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Genre
Poster (Research)
Date
2016
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Committee member
Department
Nursing
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DOI
http://dx.doi.org/10.34944/dspace/9096
Abstract
The purpose of this evidence based practice project was to determine whether delaying cord clamping at birth results in improved neonatal health outcomes in the infantile period. A comprehensive review of four systematic reviews (level I) and two position statements (level IV), revealed that though immediate cord clamping has been accepted as the standard in most hospitals, delaying cord clamping at least 30 seconds, or until the end of cord pulsation, can improve overall neonatal health and hematological outcomes. Delayed cord clamping has been found to decrease the need for transfusion and oxygen supplementation, as well as the rates of intraventricular hemorrhage (IVH), anemia, and necrotizing enterocolitis (NEC). In addition, delaying cord clamping has been found to increase hemoglobin and hematocrit levels and birthweight without posing any significant risks to the mother or newborn. Although immediate cord clamping is the standard of care in many hospitals in the United States, the literature shows that delaying cord clamping improves neonatal outcomes with little risk to the newborn, and should therefore be implemented in all possible births.
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