19 Nov Study Finds 60-Second Cord-Clamping Safe for Women Undergoing C-Section
MedicalResearch.com Interview with:
Cynthia Gyamfi-Bannerman, MD, MSc
Vice Chair for Faculty Development
Ellen Jacobson Levine and Eugene Jacobson Professor of OBGYN
Director, Maternal-Fetal Medicine Fellowship Program
Co-Director, CUMC Preterm Birth Prevention Center
MedicalResearch.com: What is the background for this study?
Response: Delayed cord clamping (DCC) at delivery has been associated with neonatal benefit. Specially, it decreases the likelihood of anemia. It became widely recommended as a practice for all deliveries even though the literature showing benefit to the neonates was largely only for low risk women with vaginal deliveries. In theory, DCC could result in increased blood loss during a cesarean due to the blood loss encountered when cutting into a gravid uterus.
MedicalResearch.com: What are the main findings?
Response: The main findings were that delayed cord clamping at the time of cesarean were safe for the mother in that there was not excessive blood loss resulting as evidenced by similar hemoglobin levels post-operatively in the delay versus usual care group.
MedicalResearch.com: Could there be other potential benefits of delayed cord clamping other than hemoglobin?
Response: For this study, since the neonatal benefit is already known, it was one of our secondary outcomes. However, we were also able to show an increase in neonatal hemoglobin in the delayed group with possible downstream effects.
MedicalResearch.com: What should readers take away from your report?
Response: It is safe to delay cord clamping for 60 seconds in women undergoing cesarean, and this delay will result in an increase in neonatal hematocrit.
MedicalResearch.com: What recommendations do you have for future research as a result of this work?
Response: This study was performed in women undergoing scheduled cesarean. It would be interesting to see if we had the same findings in women undergoing cesarean after labor.
Only the disclosures listed in the manuscript.
Impact of delayed cord clamping on maternal blood loss in term cesareans: a randomized trial
Purisch, Stephanie E. et al.
American Journal of Obstetrics & Gynecology, Volume 220, Issue 1, S37 – S38
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