Population: Pregnant women in the third stage of labor.
Organization
ACOG 2020
Recommendations
–Delay umbilical cord clamping for at least 30–60 s in term and preterm infants, except when immediate clamping is necessary because of neonatal or maternal indications (ie, resuscitation).
–Do not perform cord milking for extremely preterm infants (<28 wk of gestation).
–There is insufficient evidence to support or refute umbilical cord milking in infants born at 32 wk of gestation or more, including term infants.
Practice Pearl
• A 2019 study of umbilical cord milking was halted early because extremely preterm infants (23–27 wk of gestation) in the cord milking arm more often developed intraventricular hemorrhage compared with similar infants in the delayed cord clamping group.
Source
–ACOG. Committee Opinion No. 814. Delayed Umbilical Cord Clamping After Birth. 2020.