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Cord Management Preterm — RACP Paediatrics MCQ

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ModerateNeonatologyCord Management PretermRACP Paediatrics

A very preterm infant at 25 weeks gestation is being managed with minimal handling. What is the evidence-based approach to cord management at delivery?

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Correct answer: B — Delayed cord clamping for at least 30-60 seconds (or intact cord milking if DCC not feasible)

DCC for at least 30-60 seconds is recommended for preterm infants as it improves transitional circulation, reduces IVH (especially grades III-IV), reduces need for blood transfusion, and may reduce NEC. If DCC is not feasible (e.g. cord too short, emergency), intact cord milking is an alternative.

Reference: Australian Resuscitation Council – 2025 – Neonatal Resuscitation