Delayed cord clamping — RACP Paediatrics MCQ

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ModerateNeonatalDelayed cord clampingRACP Paediatrics

At delivery of the 28-week infant, what delivery room intervention has been shown to reduce IVH and improve haemodynamic stability in preterm infants?

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Correct answer: A — Delayed cord clamping

Delayed cord clamping (DCC, ≥60 seconds, ideally until cord stops pulsating) or umbilical cord milking in preterm infants improves circulatory transition, increases blood volume and haemoglobin, reduces IVH, and decreases the need for blood transfusion. DCC is now standard practice for preterm deliveries where the infant does not require immediate resuscitation.

Reference: ANZCOR – 2024 – Guideline 13.3; RCH Melbourne – 2023 – Delivery Room CPG