What are the AHA recommendations for umbilical cord management in neonates?

Updated: Sep 15, 2020
  • Author: Catharine A Bon, MD; Chief Editor: Kirsten A Bechtel, MD  more...
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Answer

Answer

The following are the AHA recommendations for umbilical cord management [43] :

  • Delaying cord clamping for longer than 30 seconds is suggested for both term and preterm infants who do not require resuscitation at birth (class IIa)

  • There is insufficient evidence to recommend an approach to cord clamping for infants who require resuscitation at birth (class IIb)

  • In light of the limited information regarding the safety of rapid changes in blood volume for extremely preterm infants, routine use of cord milking for infants born at less than 29 weeks of gestation is recommended against outside of a research setting (class IIb)


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