Deferred Cord Clamping: 15+ quick Q and As with Dr. Arpi!!!
Confused about Deferred Cord Clamping (DCC)? We chat with EXPERT Dr. Arpitha Chiruvolu and get all the straight-forward answers!
In this video, a neonatologist explains everything you need to know about cord clamping in newborns, including:
✔️ What is deferred cord clamping?
✔️ Why the term “deferred” is better than “delayed.”
✔️ How long to wait (preterm vs full-term babies)
✔️ When skin-to-skin is possible
✔️ Cord milking: when it’s safe (and when it’s NOT)
✔️ Why breathing before clamping is critical
✔️ Major benefits (brain development, iron, survival rates)
✔️ Situations where DCC should NOT be done
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References:
Seidler AL, Aberoumand M, Hunter KE, Barba A, Libesman S, Williams JG, Shrestha N, Aagerup J, Sotiropoulos JX, Montgomery AA, Gyte GML, Duley L, Askie LM; iCOMP Collaborators. Deferred cord clamping, cord milking, and immediate cord clamping at preterm birth: a systematic review and individual participant data meta-analysis. Lancet. 2023 Dec 9;402(10418):2209-2222. doi: 10.1016/S0140-6736(23)02468-6. Epub 2023 Nov 14. PMID: 37977169.
Katheria A, Reister F, Essers J, Mendler M, Hummler H, Subramaniam A, Carlo W, Tita A, Truong G, Davis-Nelson S, Schmölzer G, Chari R, Kaempf J, Tomlinson M, Yanowitz T, Beck S, Simhan H, Dempsey E, O'Donoghue K, Bhat S, Hoffman M, Faksh A, Arnell K, Rich W, Finer N, Vaucher Y, Khanna P, Meyers M, Varner M, Allman P, Szychowski J, Cutter G. Association of Umbilical Cord Milking vs Delayed Umbilical Cord Clamping With Death or Severe Intraventricular Hemorrhage Among Preterm Infants. JAMA. 2019 Nov 19;322(19):1877-1886. doi: 10.1001/jama.2019.16004. PMID: 31742630; PMCID: PMC6865839.
Katheria AC, Clark E, Yoder B, Schmölzer GM, Yan Law BH, El-Naggar W, Rittenberg D, Sheth S, Mohamed MA, Martin C, Vora F, Lakshminrusimha S, Underwood M, Mazela J, Kaempf J, Tomlinson M, Gollin Y, Fulford K, Goff Y, Wozniak P, Baker K, Rich W, Morales A, Varner M, Poeltler D, Vaucher Y, Mercer J, Finer N, El Ghormli L, Rice MM; of the Milking In Nonvigorous Infants group. Umbilical cord milking in nonvigorous infants: a cluster-randomized crossover trial. Am J Obstet Gynecol. 2023 Feb;228(2):217.e1-217.e14. doi: 10.1016/j.ajog.2022.08.015. Epub 2022 Aug 13. PMID: 35970202; PMCID: PMC9877105.
Chiruvolu A, Estes E, Stanzo KC, Desai S, Cornelius BC. The effects of placental transfusion on mothers. J Matern Fetal Neonatal Med. 2022 Dec;35(25):9356-9361. doi: 10.1080/14767058.2022.2032636. Epub 2022 Jan 30. PMID: 35098867.
Chiruvolu A, Tolia VN, Qin H, Stone GL, Rich D, Conant RJ, Inzer RW. Effect of delayed cord clamping on very preterm infants. Am J Obstet Gynecol. 2015 Nov;213(5):676.e1-7. doi: 10.1016/j.ajog.2015.07.016. Epub 2015 Jul 18. PMID: 26196456.
Chiruvolu A, Elliott E, Rich D, Stone GL, Qin H, Inzer RW. Effect of delay in cord clamping 45 versus 60 s on very preterm singleton infants. Early Hum Dev. 2018 Apr;119:15-18. doi: 10.1016/j.earlhumdev.2018.02.021. Epub 2018 Mar 5. PMID: 29518646.
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 18 years. She has won multiple teaching awards throughout her time as a neonatologist.
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*Disclaimer*: This video is intended for educational purposes only, and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice.