Last month the American Congress of Obstetricians and Gynecologist (ACOG) published an article recommending Delayed Cord Clamping for all healthy infants. They stated "The latest Committee Opinion is an update to ACOG’s 2012 guidance. The revision is based on more recent research that shows that, while preterm infants are likely to benefit the most from the additional blood volume gained from the placenta, term infants can also benefit and these benefits may have a favorable effect on developmental outcomes."

What is delayed cord clamping?

Delayed cord clamping is when, instead of immediately cutting the umbilical cord, you wait to make the cut until the cord stops pulsating.

What are the benefits of delayed cord clamping?

The ACOG states "In preterm infants, delayed umbilical cord clamping is associated with significant neonatal benefits, including improved transitional circulation, better establishment of red blood cell volume and decreased need for blood transfusion. It also lowers the incidence of brain hemorrhage and an intestinal disease called necrotizing enterocolitis. For term infants, it increases hemoglobin levels at birth and improves iron stores for several months, which helps prevent iron deficiency during the first year of life. Iron deficiency has been linked to impaired cognitive, motor and behavioral development."

How long should clamping be delayed?

Delaying clamping for at least 30-60 seconds is what the ACOG recommends. It can take several minutes for the cord to fully stop pulsing however, so the exact amount of time needed varies with each delivery.

What are the risk to delayed cord clamping ?

A slight increase in the risk of jaundice, that requires phototherapy as treatment, is possible with delayed clamping.

Can I still bank my babies cord blood if I delay clamping?

The amount of blood available for banking is greatly reduced. It may be possible to obtain enough for banking, but it is not guaranteed.

What does this mean for you?

If delayed cord clamping is something you desire for your birth, you should talk to your care provider about it. It is not yet standard protocol for all providers. Additionally, it may not be possible in all birth settings.