A new study has found that waiting to cut the cord of premature babies boosts survival rates.
Researchers have found compelling evidence to support the practice of delaying umbilical cord clamping for preterm babies.
The study, which analysed data from dozens of randomised controlled trials involving nearly 10,000 premature infants from various countries, suggests that delaying cord-cutting can significantly reduce the risk of death.
These babies often face heightened health challenges compared to full-term babies.
The traditional practice of immediately snipping the umbilical cord upon birth has come under scrutiny in recent years.
Mounting evidence suggests that delaying cord clamping allows a more gradual transition from foetal to neonatal circulation.
This transition is particularly crucial for premature infants, who often struggle with breathing and maintaining adequate blood oxygen levels.
According to the study’s lead author, Anna Lene Seidler, a biostatistician at the University of Sydney, the findings underscore the importance of revisiting obstetric practices, especially for the most vulnerable newborns.
Seidler emphasises that while immediate cord clamping may be necessary for specific emergencies, many premature babies can benefit from the extra time delayed clamping provides.
The research also indicates that waiting at least two minutes before cutting the cord yields the best survival outcomes – a longer duration than what is typically recommended by current medical guidelines.
Jessica Illuzzi, an expert on obstetric intervention at the Yale School of Medicine, lauds the study’s findings, stating that they provide robust evidence supporting delayed cord clamping for preterm infants.
‘These are strong findings… that longer is better,’ she said.
Despite the growing acceptance of delayed cord clamping in mainstream obstetrics, Seidler notes that some practitioners remain hesitant, especially when premature babies present with visible health issues at birth.
However, she emphasises that many aspects of medical care can be administered effectively with the cord intact, suggesting a shift towards a more patient-centred approach in neonatal care.
The study’s results challenge conventional wisdom in neonatal medicine and advocate for a more nuanced approach to cord management during preterm births.
As modern medicine continues to evolve, Seidler suggests revisiting age-old practices like delayed cord clamping may be vital to improving outcomes for the tiniest and most fragile patients.
The study was published in The Lancet.
