What are the ACOG recommendations for delivery of women in preterm labor?

Updated: Dec 17, 2018
  • Author: Michael G Ross, MD, MPH; Chief Editor: Carl V Smith, MD  more...
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Answer

Answer

Delivery of the preterm infant involves several unique issues (avoidance of excessive trauma, caution in the use of vacuum prior to 34 weeks’ gestation, risk of breech head entrapment, etc) to optimize newborn well-being. The American College of Obstetricians and Gynecologists has endorsed a policy of delayed cord clamping in both term and preterm newborns as this practice increases newborn hemoglobin and, in preterm infants reduces rates of intraventricular hemorrhage, necrotizing enterocolitis and required transfusions. Specifically, ACOG recommends a delay in umbilical cord clamping in vigorous term and preterm infants for at least 30–60 seconds after birth, though care must be individualized and provided only to infants not requiring immediate resuscitation. [35]


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