• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Obstetrics

Randomized study of delayed cord clamping of 30 to 60 seconds in the larger infant born preterm

byBrian DoughertyandAlex Chan
July 19, 2020
in Obstetrics, Pediatrics
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

1. Among preterm infants, the delaying of cord clamping for 60 seconds was associated with an increased hematocrit when compared to clamping at 30 seconds.

2. The greatest absolute increase in hematocrit between the two groups was seen among infants born at less than 31 weeks.

Evidence Level Rating: 2 (Good)

Delayed cord clamping (DCC) is a widely accepted practice in neonatal care because it increases blood flow from mother to fetus and facilitates the cardiorespiratory transition. Many professional organizations, including the World Health Organization and the American College of Obstetrics and Gynecology, recommend DCC for at least 30 to 60 seconds after birth when appropriate. Some providers, however, are hesitant to delay cord clamping for fear of delaying resuscitation and hyperbilirubinemia. This randomized controlled trial compared 50 infants (mean [SD] gestational age = 32.7 [1.6] weeks) clamped at 30 seconds with 55 infants (mean [SD] gestational age = 33.2 [2.1] weeks) clamped at 60 seconds born to mothers with threatened preterm delivery between 28 and 346/7 weeks estimated gestational age. The primary objective was to determine whether DCC for 30 or 60 seconds would be associated with a difference in hematocrit of 3%. Secondary objectives included the impact of DCC on other metrics such as Apgar scores, initial and 6-hour heart rate, and initial temperature, among others. Initial hematocrit was 49.7±5.2% among the 30-second group and 52.5±6.1% among the 60-second group (p = 0.006). Subgroup analysis revealed that for infants born at <31 weeks (n = 16), hematocrit increased from 45.9±6.2% among the 30-second group to 52.7±7.6% among the 60-second group (p = 0.03), while for infants born at ≥31 weeks (n = 89), hematocrit increased from 50.1±4.8% among the 30-second group to 52.5±5.9% among the 60-second group (p = 0.02). Between the two groups, no secondary objectives measured were statistically significant, and there were no obvious adverse effects attributable to the intervention. This study adds to the growing evidence that supports DCC among preterm infants because of its immediate clinical benefits and positive impact on hematocrit.

Click to read the study in Journal of Pediatrics

Image: PD

©2020 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

RELATED REPORTS

Atherosclerotic risk factors associated with stroke in adulthood present from childhood and increase with age

Increased maternal milk feeding associated with improved neurodevelopmental outcomes for former preterm infants

Exposure to macrolides in children may be potentially associated with sensorineural hearing loss

Tags: delayed cord clampinghyperbilirubinemiaobstetricspediatrics
Previous Post

Randomized study of delayed cord clamping of 30 to 60 seconds in the larger infant born preterm

Next Post

Intracranial atherosclerosis on 7T MRI and cognitive functioning – the SMART-MR study

RelatedReports

Patient Basics: Atherosclerosis
Chronic Disease

Atherosclerotic risk factors associated with stroke in adulthood present from childhood and increase with age

August 5, 2022
Characteristic differences between young children and adolescents who die by suicide
Neurology

Increased maternal milk feeding associated with improved neurodevelopmental outcomes for former preterm infants

August 4, 2022
Implementation of pneumococcal vaccine programs linked to decreased antibiotic prescription
Chronic Disease

Exposure to macrolides in children may be potentially associated with sensorineural hearing loss

July 29, 2022
Maternal vaccination during pregnancy not associated with infant hospitalization, mortality
Obstetrics

Dinoprostone superior to Foley catheter balloon induction for patients with prior C-section

July 28, 2022
Next Post

Intracranial atherosclerosis on 7T MRI and cognitive functioning – the SMART-MR study

Intracranial atherosclerosis on 7T MRI and cognitive functioning – the SMART-MR study

Intracranial atherosclerosis on 7T MRI and cognitive functioning – the SMART-MR study

Smoking during pregnancy associated with aerobic fitness of children

Industry-sponsored anti-smoking advertisements are ineffective in stimulating smoking cessation

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Provision of 1-year mortality data for patients hospitalized with heart failure does not influence clinical decision-making – The REVEAL-HF trial
  • Genetic risk for hemochromatosis associated with abnormal iron deposition localized to motor circuits of the brain
  • Graded sensorimotor retraining may improve chronic lower back pain compared to sham procedure: The RESOLVE randomized clinical trial
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.