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
References