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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, MD, FRCOG, Joachim W.

Ed. by Bancalari, Eduardo / Chappelle, Joseph / Chervenak, Frank A. / D'Addario , Vincenzo / Genc, Mehmet R. / Greenough, Anne / Grunebaum, Amos / Konje, Justin C. / Kurjak M.D., Asim / Romero, Roberto / Zalud, MD PhD, Ivica


IMPACT FACTOR 2018: 1.361
5-year IMPACT FACTOR: 1.578

CiteScore 2018: 1.29

SCImago Journal Rank (SJR) 2018: 0.522
Source Normalized Impact per Paper (SNIP) 2018: 0.602

Online
ISSN
1619-3997
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Volume 34, Issue 4

Issues

Timing of cord clamping revisited

Tali Levy / Isaac Blickstein
  • Hadassah-Hebrew School of Medicine, Jerusalem, Israel and Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, Israel
  • Other articles by this author:
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Published Online: 2006-07-19 | DOI: https://doi.org/10.1515/JPM.2006.056

Abstract

Although cord cutting has been performed since the beginning of mankind, the timing and advantages of early versus delayed cord clamping are still controversial. Early cord clamping (within the first 30 s after birth) is usually justified for potential prevention of postpartum hemorrhage and for immediate treatment of the newborn, but at the same time, may increase Rh-sensitization. Delayed cord clamping is performed after a period of 30 s during which ‘placental transfusion’ of approximately 80 mL of blood occurs. This amount seems to protect the baby from childhood anemia without increasing hypervolemia-related risks. In preterm infants, delayed clamping appears to reduce the risk of intraventricular hemorrhage and the need for neonatal transfusion. Obtaining cord blood for future autologous transplantation of stem cells needs early clamping and seems to conflict with the infant's best interest. Although a tailored approach is required in the case of cord clamping, the balance of available data suggests that delayed cord clamping should be the method of choice.

Keywords: Cord blood banking; intraventricular hemorrhage; third stage of labor; umbilical cord

About the article

Corresponding author: Dr. Isaac Blickstein Kaplan Medical Center Department of Obstetrics and Gynecology 76100 Rehovot/Israel


Received: March 5, 2006

Revised: April 1, 2006

Accepted: April 4, 2006

Published Online: 2006-07-19

Published in Print: 2006-08-01


Citation Information: Journal of Perinatal Medicine, Volume 34, Issue 4, Pages 293–297, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/JPM.2006.056.

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