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In This Issue of JAMA
November 19, 2019


JAMA. 2019;322(19):1839-1841. doi:10.1001/jama.2018.15597

Delayed umbilical cord clamping is associated with improved birth outcomes for term infants, but the evidence for maternal outcomes is less clear. Purisch and colleagues randomized 113 women undergoing scheduled cesarean delivery and found that delayed umbilical cord clamping, compared with immediate cord clamping, resulted in no significant difference in the change in maternal hemoglobin at postoperative day 1. In an Editorial, Rabe and Andersson suggest that evidence-based techniques for placental transfusion should be standardized.

Editorial and Related Article

Visual Abstract

Delayed cord clamping provides a placental transfusion to the newborn, but umbilical cord milking takes less time and allows resuscitation to begin promptly. Katheria and colleagues randomized 540 preterm infants to receive umbilical cord milking or delayed cord clamping and found no statistically significant difference in the rate of a composite outcome of death or severe intraventricular hemorrhage, but did find a statistically significantly higher rate of severe intraventricular hemorrhage in the umbilical cord milking group.