Skip to main content

Nepcord III diagram

The diagram below, created by Satyan Lakshminrusimha, is based off of a recent study by Andersson et al published in Maternal Health, Neonatology and Perinatology

Nepcord III diagram © Based on Andersson et al MHNP 2019. Figure copyright Satyan Lakshminrusimha (slakshmi@ucdavis.edu)

Based on Andersson et al. Maternal Health, Neonatology and Perinatology, 2019. 
Figure copyright Satyan Lakshminrusimha (slakshmi@ucdavis.edu)

Andersson and colleagues conducted a randomized clinical trial of resuscitation with early cord clamping or resuscitation with an intact umbilical cord in late-preterm and term infants born by vaginal delivery and not breathing at 30s after birth. Nurse-midwives trained in Helping Babies Breathe (HBB – © American Academy of Pediatrics) conducted the trial. The benefits of an intact umbilical cord for at least 180s (identified by *) included higher preductal pulse oximetry (SpO2) and Apgar scores at 1, 5 and 10 min after birth and lower heart rate at 1 and 5 min. Delayed cord clamping also resulted in earlier cry/breathing. Body temperature after resuscitation and transcutaneous bilirubin at discharge were similar between early and delayed cord clamping groups.

Read the article:
Intact cord resuscitation versus early cord clamping in the treatment of depressed newborn infants during the first 10 minutes of birth (Nepcord III) – a randomized clinical trial
Ola Andersson, Nisha Rana, Uwe Ewald, Mats Målqvist, Gunilla Stripple, Omkar Basnet, Kalpana Subedi & Ashish KC 
Volume 5, Article number: 15 (2019), DOI: 10.1186/s40748-019-0110-z 

Annual Journal Metrics

  • Speed
    100 days to first decision for reviewed manuscripts only
    33 days to first decision for all manuscripts
    197 days from submission to acceptance
    23 days from acceptance to publication

    Usage 
    138,322 Downloads
    326 Altmetric mentions