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Clinical Summary

Does delayed cord clamping contribute to maternal blood loss?

Takeaway

  • For scheduled cesarean delivery (CD), delayed cord clamping does not increase maternal blood loss.

Why this matters

  • Delayed umbilical cord clamping has been associated with improved neonatal haemoglobin levels at 24-48 hours of life, and improved neurodevelopment through the age of 4 years.

Key results

  • No significant difference in maternal blood loss with and without delayed cord clamping.

Study design

  • Randomised clinical trial at 2 hospitals between 2017 and 2018.
  • Women undergoing scheduled CD were recruited.
  • Immediate cord clamping (<15 seconds) was compared with delayed cord clamping (60 seconds).
  • Primary outcome was an objective measure of maternal blood loss (change in haemoglobin level from preoperative level to postoperative day 1 level).
  • Funding: None disclosed.

Limitations

  • Only scheduled cases were examined.
  • Only 60 seconds of delayed cord clamping were examined.

References


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