Delayed cord clamping at delivery of a newborn-a position statement by the College of Paediatrics and the College of Obstetricians and Gynaecologists, Academy of Medicine of Malaysia

Cheah, Fook Choe and Omar, Siti Zawiah and Lim, Pei Shan and Ismail, Hamizah and Lim, C K K and Thong, Meow Keong and Yong, S C and Chee, S C (2024) Delayed cord clamping at delivery of a newborn-a position statement by the College of Paediatrics and the College of Obstetricians and Gynaecologists, Academy of Medicine of Malaysia. Medical and Health, 19 (2). pp. 348-361. E-ISSN 2289-5728

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Abstract

Delayed cord clamping (DCC) is a practice in which the umbilical cord of a newborn is not immediately clamped and cut after birth, but deferred to allow the transfer of vital blood and nutrients from the placenta to the neonate. This position paper, in advocating DCC, highlights some key physiological factors of the newborn transitioning into extrauterine life in justifying the delay in cord clamping. The optimum timing in clamping the cord is also discussed based on the recommendations on best practice from some of the foremost international bodies involved in maternal, fetal and neonatal care. In explaining the benefits of DCC from a scientific perspective, this paper also reviews the significant impact on neonatal health, especially in decreasing intraventricular haemorrhage and circulatory instability in the preterm infant, iron deficiency anaemia, and improving long-term neurodevelopment outcome. Common concerns and potential risks related to DCC such as postpartum haemorrhage and neonatal hyperbilirubinemia are largely disproved. This position paper provides recommendations for healthcare providers and advice for parents in Malaysia, in the hope that DCC will be implemented nationwide soon as a standard of care. ***** Pengapitan tali pusat lewat (PTPL) ialah suatu amalan di mana tali pusat bayi yang baru lahir tidak segera diapit selepas kelahiran, sebaliknya ditangguhkan untuk membolehkan pemindahan darah dan nutrien yang penting dari uri ke bayi. Kenyataan pendirian ini menyokong PTPL dengan menekankan beberapa faktor fisiologi utama bayi dalam menyesuaikan diri dengan kehidupan luar rahim sebagai justifikasi untuk menangguhkan pengapitan tali pusat. Masa yang optimum untuk mengapit tali pusat juga dibincangkan berdasarkan saranan amalan terbaik daripada beberapa badan antarabangsa terkemuka yang terlibat dalam penjagaan ibu, janin dan bayi baru lahir. Dalam menjelaskan manfaat PTPL dari perspektif saintifik, kenyataan pendirian ini juga mengkaji impak signifikan terhadap kesihatan bayi baru lahir, terutamanya dalam mengurangkan pendarahan dalam otak dan ketidakstabilan peredaran darah untuk golongan bayi pramatang, anemia kekurangan zat besi, dan meningkatkan hasil perkembangan otak jangka panjang. Pada umumnya, kebimbangan dan risiko potensi yang sering dikaitkan dengan PTPL seperti pendarahan selepas bersalin dan penyakit kuning bayi baru lahir telah disangkal berdasarkan penyelidikan terkini. Kenyataan pendirian ini bertujuan memberikan saranan kepada kakitangan penjagaan kesihatan dan nasihat kepada ibu bapa di Malaysia, dengan harapan PTPL akan dilaksanakan di seluruh negara sebagai amalan piawai pada masa terdekat.

Item Type:	Article (Journal)
Additional Information:	11218/119431
Uncontrolled Keywords:	Early cord clamping, immediate cord clamping, iron deficiency anaemia, placental transfusion; preterm infant, term infant, umbilical cord / Anemia kekurangan zat besi; bayi cukup bulan, bayi pramatang, pemindahan darah dari uri, pengapitan tali pusat awal, pengapitan tali pusat segera, tali pusat bayi
Subjects:	R Medicine > RG Gynecology and obstetrics R Medicine > RG Gynecology and obstetrics > RG500 Obstetrics R Medicine > RG Gynecology and obstetrics > RG551 Pregnancy R Medicine > RG Gynecology and obstetrics > RG951 Maternity nursing. Obstetrical nursing R Medicine > RG Gynecology and obstetrics > RG940 Maternal care. Prenatal care services R Medicine > RJ Pediatrics R Medicine > RJ Pediatrics > RJ251 Newborn infants. Neonatology R Medicine > RJ Pediatrics > RJ59 Infant and neonatal morbidity and mortality
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Obstetric & Gynecology
Depositing User:	Prof. Dato Hamizah Ismail
Date Deposited:	14 Feb 2025 14:26
Last Modified:	14 Feb 2025 14:29
URI:	http://irep.iium.edu.my/id/eprint/119431

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