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Cord Clamping Practices

Immediate vs. Delayed

Yesenia R. Contreras

March 6, 2014

CHHS 302

Professor Huddleston

Community Connection

Rhetorical Timing

  • Additional research is needed to establish guidelines by medical associations, nursing association, etc.
  • Health care providers & health educators should inform parents-to-be allowing them the opportunity to make an informed decision.
  • It is important now because of current changes to health system
  • Documented benefits should be shared with parents allowing for informed decision
  • Benefits: ↑ blood volume, ↑ total body iron @birth, ↑ stem cells

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Cause & Effects

Professional Interest

Thank you.

  • Shift in practice result of "movement of more birth from the home into the hospital setting where 'ligation of the cord makes it possible to get babies and mothers out of the delivery room more rapidly'" (Chaparro, 2011).
  • No established evidenced based guidelines

Questions

  • Long term career goal is to earn an advanced practice degree in nursing - masters degree - as a certified nurse-midwife (CNM)
  • Currently I teach labor & delivery preparation

References

Critical Situation/Problem

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Chaparro, C. (2011). Timing of umbilical cord clamping: effect

on iron endowment of the

newborn and later iron status. Nutrition Reviews, 69S30-S36. doi:10.1111/j.1753-4887.2011.00430.x

Cook, E. L. (2007). Delayed cord clamping or immediate cord clamping?: A literature review.

British Journal Of Midwifery, 15(9), 562-571.

Mercer, J. S. (2001). Current best evidence: a review of the literature on umbilical cord

clamping. Journal of midwifery & women’s health, 46(6), 402-412.

Rees, R. (2012). What is the significance of delayed cord clamping?. British Journal Of

Midwifery, 20(10), 740-744.

Wiberg, N. N., Källén, K. K., & Olofsson, P. P. (2008). Delayed umbilical cord clamping at birth

has effects on arterial and venous blood gases and lactate concentrations. BJOG: An International Journal Of Obstetrics & Gynaecology, 115(6), 697-703. doi:10.1111/j.1471-0528.2008.01708.x

  • Currently common practice is for immediate cord clamping (ICC) within 30 seconds of birth (Rees, 2012).
  • No education: "women are not fully informed of these benefits and are not offered a choice about their baby's first minutes, let alone an informed one" (Rees, 2012).
  • No "evidence-based research guidelines" (Mercer, 2001).
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