Cord Management of the Term Newborn

Clin Perinatol. 2021 Aug;48(3):447-470. doi: 10.1016/j.clp.2021.05.002.


Keeping the umbilical cord intact after delivery facilitates transition from fetal to neonatal circulation and allows a placental transfusion of a considerable amount of blood. A delay of at least 3 minutes improves neurodevelopmental outcomes in term infants. Although regarded as common sense and practiced by many midwives, implementation of delayed cord clamping into practice has been unduly slow, partly because of beliefs regarding theoretic risks of jaundice and lack of understanding regarding the long-term benefits. This article provides arguments for delaying cord clamping for a minimum of 3 minutes.

Keywords: Delivery; Placental transfusion; Resuscitation; Term; Umbilical cord clamping.

Publication types

  • Review

MeSH terms

  • Blood Transfusion
  • Constriction
  • Female
  • Humans
  • Infant, Newborn
  • Placenta*
  • Pregnancy
  • Time Factors
  • Umbilical Cord* / surgery