Cord Clamping Techniques in Term Infants

and Hyperbilirubinemia
Kate Shroyer, Maren Stiles, Tori Osborn, Gabby
Rogers, Nicole Stiner, Allie Riddle TIMING IS EVERYTHING
Delayed Cord Clamping (DCC) Increases Neonatal Hematological Benefits SYNTHESIS
INTRODUCTION • Hematological advantage: increasing
hemoglobin levels and ferritin stores3, 6

• Common concerns with neonates is serum

iron stores within their first stage of life2 • DCC when performed on premature infants
reduced NICU admissions and hospital morality
• The timing of cord clamping can affect the rates 2,4

overall hematological elements of a

neonate 3, 6 • Infant wellbeing and development in the first
year of life in DCC group along with overall
• Delayed cord clamping provides health better in these children 2,4

hematological advantages that benefit the

term neonate 3,5, 6 • Slight increase in incidence of
hyperbilirubinemia but not severe enough to
PICOT decrease positive hematological
In term neonates, how does delayed cord Click to add text
aspects 1,2,3,4,5,6

clamping compared to immediate cord

clamping affect the rate of • DCC infants did not require more phototherapy
hyperbilirubinemia? treatments than other infants and did not
experience significantly longer hospital stays1,5,6

SEARCH DISCUSSION & RECOMMENDATIONS

• Databases: CINAHL, PUBMED, • Before making delayed cord clamping a
• Keywords "neonate", "delayed universal protocol for all neonates, studies
cord clamping", "immediate cord clamping", need to be completed for
"hyperbilirubinemia", "jaundice"
Photo Credit:
https://parentsguidecordblood.org/sites/default/files/infogra-en.svg #1: high risk pregnancies
#2: neonates that are at high risk
• 6 articles: #3: multiple pregnancies
Level of 1 2 3 4 5 6
Evidence • Adequate education involving most recent
I
✓ ✓ statistics about DCC including benefits/risks
II
✓ ✓ Take a picture to • Advocate for delayed cord clamping. Why?

✓
III
download the references • Provides hematological advantages for
the neonate with little to no cost
IV
✓ associated