Shosha Akhona, Jacobs Wanda, Janse van Rensburg Zelda
Department of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg.
S Afr Fam Pract (2004). 2025 Aug 8;67(1):e1-e8. doi: 10.4102/safp.v67i1.6154.
Background: Immediate umbilical cord clamping has been part of the active management of the third stage of labour for centuries. Despite the benefits of delayed cord clamping, immediate cord clamping remains the routine practice in many countries, including South Africa. The aim of this study was to determine South African midwives' knowledge of the benefits of delayed umbilical cord clamping.
Employing a quantitative, descriptive, cross-sectional design, 150 midwives from three Midwifery Obstetric Units (MOUs) in a district in one South African province were sampled through a stratified sampling method to complete the survey with an adapted self-administered questionnaire.
The majority of midwives lacked knowledge of the benefits of delayed umbilical cord clamping or were unsure of their knowledge.
There is documented evidence on the benefits of delayed umbilical cord clamping for both mother and newborn. Midwives who participated in the research lacked knowledge of these benefits. Identification of the knowledge deficits of midwives regarding the benefits of delayed umbilical cord clamping may inform future midwifery education pertaining to delayed umbilical cord clamping and its benefits and may improve the practice thereof. Contribution: This is the first study in South Africa to report on midwives' knowledge of the benefits of delayed umbilical cord clamping.
背景：数个世纪以来，立即钳夹脐带一直是第三产程积极管理的一部分。尽管延迟钳夹脐带存在诸多益处，但在包括南非在内的许多国家，立即钳夹脐带仍是常规做法。本研究的目的是确定南非助产士对延迟钳夹脐带益处的了解情况。
采用定量、描述性横断面设计，通过分层抽样方法，从南非一个省份某地区的三个助产产科单元（MOU）抽取了150名助产士，让其使用一份经过改编的自填式问卷完成调查。
大多数助产士对延迟钳夹脐带的益处缺乏了解，或者不确定自己的了解程度。
有文献记载延迟钳夹脐带对母亲和新生儿均有益处。参与研究的助产士并不了解这些益处。确定助产士在延迟钳夹脐带益处方面的知识缺陷，可能会为未来有关延迟钳夹脐带及其益处的助产士教育提供参考，并可能改善这一做法。贡献：这是南非第一项报告助产士对延迟钳夹脐带益处了解情况的研究。
