Delayed cord clamping can offer developmental benefits but may also lead to adverse effects like temperature instability, hypotension, jaundice, neonatal tetanus, and respiratory distress, necessitating a careful case-by-case approach.
Delayed cord clamping (DCC) is the practice of postponing the clamping of the umbilical cord at childbirth. While DCC has benefits such as increased iron stores and improved circulatory transition for the newborn, potential adverse effects include temperature instability, hypotension, increased risk of jaundice due to higher bilirubin levels, and polycythemia which could lead to hyper viscosity and associated complications.
Additionally, the delay can exacerbate any existing respiratory distress in the newborn and, in contexts with high rates of maternal and neonatal tetanus, increase the risk of neonatal tetanus if the cord is not managed properly. An informed decision on the timing of cord clamping should consider both the benefits and potential risks, taking into account the mother's and infant's health status and the conditions of the birthing environment.
So, while the benefits of delayed cord clamping are significant, careful consideration must be given to possible adverse effects and the overall clinical circumstances. Healthcare providers should make the decision on a case-by-case basis to ensure the safety and well-being of both mother and child.