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Umbilical cord management

What's new

Updated 2023 AHA/AAP guidelines on umbilical cord management.


Key sources

The following summarized guidelines for the management of umbilical cord management are prepared by our editorial team based on guidelines from the American Academy of Family Physicians (AAFP 2024), the American Heart Association (AHA/AAP 2024), the European Consensus Group on Respiratory Distress Syndrome (ECG-RDS 2023), the Society of Obstetricians and Gynaecologists of Canada (SOGC 2022), the American College of Obstetricians ...
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Medical management

As per SOGC 2022 guidelines:
Administer IV uterotonic medications after clamping the cord in preterm pregnancies due to concerns about a potential bolus of blood to preterm infants.
Administer IV uterotonic medications with delivery of the anterior shoulder of the final infant in term pregnancies with lower risk for bolus effects of blood, lower benefits of deferred cord clamping and higher risk for maternal postpartum hemorrhage.
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Therapeutic procedures

Timing of cord clamping: as per AAFP 2024 guidelines, delayed umbilical cord clamping for at least 30-60 seconds after delivery of a stable infant to reduce neonatal anemia, recognizing that it slightly increases the risk of hyperbilirubinemia and polycythemia.

More topics in this section

  • Considerations for delayed cord clamping

  • Umbilical cord milking