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Abstract

After birth, the umbilical cord connecting the baby to the placenta is cut. Until recently the cord was clamped and cut immediately after birth. However, in the last twenty years the benefits of delayed cord clamping for term babies (usually waiting for at least 1 minute after birth) has been recognised, and delayed cord clamping has become normal practice. This delay allows for blood to pass from the placenta to the baby (known as placental transfusion) and aids cardiovascular transition from fetal to postnatal life. Based on the belief that gravity may affect the volume of placental transfusion, babies may be held at or below vaginal level until the cord is clamped. However, this can be difficult as many women wish to have skin-to-skin contact with their baby as soon as it is born to facilitate bonding which may result in low compliance with delayed cord clamping. It is not known if raising the baby to the level of the mother’s abdomen or chest prior to cord clamping reduces the volume of placental transfusion leading to adverse outcomes for the baby. The aim of this review is to assess whether there is a difference in outcomes for babies held at or below vaginal level or at the mother’s abdominal or chest level during delayed cord clamping.

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