Clinical Questions List
The Effect of Delayed Cord Clamping on Breastfeeding

CQ #258 - September 12, 2022

by Anne Eglash MD, IBCLC, FABM

#LactFact

Delayed cord clamping may improve breastfeeding success at birth.

The effect of delayed umbilical cord clamping on newborn’s oxygen saturation and sucking success in primiparous pregnant
J Obstet and Gynaecol Res 2022 Sept 5

What is delayed cord clamping and how would it affect breastfeeding?

After birth, the umbilical cord is clamped and cut to separate the newborn from the placenta. The question is when should this be done? The World Health Organization considers cord clamping in the first 60 seconds as early, and delayed if done after the first 60 seconds or when the cord stops pulsing.

Delayed cord clamping (DCC) is associated with improved infant iron status for up to 6 months postpartum, because the delay allows infant transfusion of the blood remaining in the placenta. Ideally, infants are placed skin to skin while waiting to clamp the cord.

There is also evidence that DCC improves oxygenation to the brain and body overall, at least in the first few 10 minutes postpartum. The authors of today’s study hypothesized that DCC would increase newborn sucking success because of this improved oxygenation status.

This study performed in Turkey involved 101 low risk primiparous women who had uncomplicated vaginal deliveries with a single infant. The women were randomized to either the early cord clamping (ECC) control group or the DCC experimental group. The researchers documented that the DCC newborns were placed skin-to-skin immediately after birth, but there was no information about the skin-to-skin status for the ECC group.

The researchers measured the newborn’s oxygen saturation at 1, 5, 10, and 15 minutes after birth. They also performed a LATCH score on the newborns within the first 2 hours.

Choose accurate statements, based on this study, regarding the effect of delayed cord clamping (DCC) on oxygen status and LATCH score. Choose 1 or more:
  1. The LATCH score was significantly higher among newborns with DCC, as compared to those with ECC.
  2. There was no difference in LATCH score between newborns with DCC vs ECC.
  3. The oxygen saturation of newborns in the DCC group was the same as the ECC group.
  4. The oxygen saturation of newborns in the DCC group was higher than in the ECC group.

Click here to view the answer to this question.

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Comments (2)
    Thzuska PICO MAWYIN

    When we applicate these wrights from the Newborn, we respect de natural physiology, and all will be better. The transition will be better, the circulation will not be interrupted like a shock, the impact in the microcirculation will be natural. we have benefits in the microcirculation from the lungs, the kidneys, the brain, and very important in the gut.

    and, that waiting, in skin to skin, we learn that is so importan, for temperature, ( thermogenesis) , so important to manage de stress for born, and this waiting permite the linking with the smell, the sounds of the mother, the touch of the mother, the respirations from the mother; all of this factors and many others that we know an others that we don’t know, impact positivamente in the breastfeeding, an of courser the LACHT will be better y any circunstancias, that is a good beginning, the best beginning. FELICITACIONES POR ESTA INICIATIVA DE COMPARTIR INFORMACION VALIOSA

    Graça Maria Soares Gois Pereira Gonçalves

    Hello

    I am also curious about the breastfeeding continuation of these babies. What happened during the next days and even weeks.
    Thank you so much for sharing these studies, and your expertise.

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