Cord management in non-vigorous newborns

Semin Perinatol. 2023 Jun;47(4):151742. doi: 10.1016/j.semperi.2023.151742. Epub 2023 Mar 17.


Cord management in non-vigorous newborns remains up for debate, as limited studies have validated strategies in this high-risk population. While multiple national and international governing bodies now recommend the routine practice of delayed cord clamping (DCC) in vigorous neonates, these organizations have not reached a consensus on the appropriate approach in non-vigorous neonates. Benefits of placental transfusion are greatly needed amongst non-vigorous neonates who are at risk of asphyxiation-associated mortality and morbidities, but the need for immediate resuscitation complicates matters. This chapter discusses the physiological benefits of placental transfusion for non-vigorous neonates and reviews the available literature on different umbilical cord management strategies for this population.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Fetal Blood*
  • Humans
  • Infant, Newborn