Table 1 Recommended practice guidelines for delayed cord clamping [4 - 6 , 30 ]
From: Steps for implementing delayed cord clamping in a hospital setting
Extremely Preterm | Preterm | Term | |
|---|---|---|---|
<28 WGA | 28–37 WGA | >37 WGA | |
WHO | Delay of umbilical cord clamping for 1–3 minutes after birth is recommended for all births with simultaneous essential newborn care. | ||
ACOG | Evidence supports delayed umbilical cord clamping in preterm infants. | Insufficient evidence exists to support or refute the benefits of delayed umbilical cord clamping for term infants born in resource-rich settings. | |
AAP | Endorsed recommendations of ACOG (above) | ||
SOGC | Delayed cord clamping by at least 60 seconds is recommended | The risk of jaundice is weighed against the physiological benefits of delayed cord clamping. | |
RCOG | Delay clamping the umbilical cord earlier than necessary unless exigent circumstances such as heavy maternal blood loss or the need for immediate neonatal resuscitation take priority. | ||
ILCOR | Delay umbilical cord clamping for at least 1 min for newborn infants not requiring resuscitation. Evidence does not support or refute delayed cord clamping when resuscitation is needed. | ||