- Delayed cord clamping in term infants is associated with increased risk for jaundice.
Why this matters
- Universal delayed cord-clamping protocols for preterm neonates provide benefits, including reduced incidence of intraventricular hemorrhage, enterocolitis, sepsis, and mortality.
- The association of benefits of delayed cord clamping in full-term infants is less clear.
- The American College of Obstetricians and Gynecologists (ACOG) recommends delayed cord clamping for all neonates.
- Mean peak neonatal transcutaneous bilirubin levels were higher in neonates with delayed cord clamping (10.0 vs 8.4 mg/dL; P<.01>
- Diagnosis of jaundice was made more often after delayed cord clamping (27.2% vs 16.6%; P=.01).
- No difference in mean peak serum bilirubin levels between groups (P=.17).
- No difference in need for phototherapy between groups.
- Retrospective cohort study.
- Term infants before (n=395) and after (n=399) implementation of a universal delayed cord-clamping protocol were compared.
- Primary outcome was the difference in peak mean neonatal transcutaneous bilirubin levels.
- Funding: None disclosed.
- Single academic center; results may not be generalizable.
- Although jaundice was increased, the need for phototherapy was not; it is unclear how to interpret these results.