Evidence to fact umblical cord clamping in the light of 2023 ICM theme: History and recommendations
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Department of Midwifery, Institute of Health Sciences, Amasya University, Amasya, Turkey
Publication date: 2023-10-24
Corresponding author
Neslihan Kilinç   

Department of Midwifery, Institute of Health Sciences, Amasya University, Amasya, Turkey
Eur J Midwifery 2023;7(Supplement 1):A127
The clamping time of the cord, which covers the third stage of labor, is important for the first minutes of the postnatal period and for the smooth continuation of the advancing process. Umbilical cord and clamping time has been a subject of interest and discussion throughout history. Therefore, from the past to the present, different opinions have been suggested about the clamping time of the umbilical cord at birth, and this issue still continues to be discussed. Cord clamping time may vary according to hospital policies, current guidelines, evidence-based practices and practice habits of healthcare professionals. Late cord clamping was first mentioned in 98-138 AD, and late cord clamping was also used in primitive cultures. The first cord clamp was used at the beginning of the 19th century, and it was emphasized in the user guide that it should not be applied until the cord pulsation ends naturally. In the 1950s, early cord clamping was proposed differently. Today, important organizations such as ACOG, RCOG, WHO, NICE recommend delayed clamping of the umbilical cord. While late cord clamping has higher hemoglobin levels in term newborns, less iron deficiency in infancy, and positively affects motor and social development in children, intraventricular hemorrhage, sepsis, necrotizing enterocolitis, blood transfusion need in preterm newborns, It reduces mortality rates, the need for hospitalization and resuscitation in the intensive care unit, and increases the 1st minute APGAR score. In addition, polycythemia and hyperbiliurebinemia are among the possible risks of late cord clamping, while there is insufficient evidence to support late cord clamping for Rh-incompatibility babies who require resuscitation. Therefore, the general condition of the newborn has a decisive role in the decision regarding the timing of umbilical cord clamping. The International Confederation of Midwives (ICM) has set its 2023 theme as “together again: from evidence to truth”. This theme draws attention to the importance of evidence-based practices in midwifery practices and can be interpreted as midwives should integrate evidence-based practices into midwifery practice. From this point of view, the history and application time of cord clamping, which is an important midwifery practice that directly relates to newborn health, is discussed in line with evidence-based practice recommendations.
The author has no conflicts of interest to disclose.
There is no funding for this research.
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