Benefits of Delayed Cord Clamping for Improvement of Neonatal Outcome

Author Name: Niketa Vaghela, Siji Varghese, C. Malsawmsangpuii, Clowie Yawane, Riddhi Gandhi, H. Lalawmpuii, Lalremruati

Volume: 03/02

Country: India

DOI NO.: 11.2023-61555522 DOI Link: https://doi-ds.org/doilink/07.2025-86551634/GIJNR

Affiliation:

1. Assistant Professor, Parul Institute of Nursing, Parul University, Vadodara, Gujarat
2. Tutor, Parul Institute of Nursing, Parul University, Vadodara, Gujarat
3. Post Basic B.Sc. Nursing Students, Parul Institute of Nursing, Parul University, Vadodara, Gujarat
4. Post Basic B.Sc. Nursing Students, Parul Institute of Nursing, Parul University, Vadodara, Gujarat
5. Post Basic B.Sc. Nursing Students, Parul Institute of Nursing, Parul University, Vadodara, Gujarat
6. Post Basic B.Sc. Nursing Students, Parul Institute of Nursing, Parul University, Vadodara, Gujarat
7. Post Basic B.Sc. Nursing Students, Parul Institute of Nursing, Parul University, Vadodara, Gujarat

ABSTRACT

Delayed Cord Clamping (DCC) is an evidence-based obstetric and neonatal intervention that involves postponing the clamping of the umbilical cord for a specific period after childbirth, typically between 30 seconds to 3 minutes. Research has consistently shown that DCC improves neonatal health outcomes by enhancing hematologic status, increasing iron reserves, and contributing to better physiological adaptation during the transitional period. This manuscript explores the physiological benefits, clinical implications, and best practices surrounding DCC. The randomized controlled trial conducted on 200 healthy term neonates at a tertiary care hospital demonstrated that DCC significantly improves hemoglobin concentration, hematocrit levels, and reduces the incidence of neonatal anemia and need for transfusions, without increasing the risk of jaundice or other complications. The review of supporting literature further reinforces the safety and efficacy of DCC. Based on these findings, DCC should be promoted as a standard neonatal practice in all birthing facilities, especially in resource-limited settings where neonatal anemia is prevalent.

Key words: Delayed Cord Clamping, Neonatal Outcome, Anemia, Hemoglobin, Umbilical Cord, Immediate Cord Clamping, Newborn Care, Hematologic Status, APGAR Score, Neonatal Jaundice