Abstract
Delayed cord clamping (DCC) has been discussed in the literature; some controversy exists regarding potential risks and benefits. To have certified nurse midwives (CNMs) at Ochsner Baptist Medical Center implement DCC, which was defined as the delay of clamping and cutting of the umbilical cord until after the cessation of pulsations in healthy, low-risk, term, neonates following vaginal birth. CNMs discussed the preferences for DCC with women before they gave birth. Implementing DCC after spontaneous vaginal birth occurred in cases that did not require neonatal resuscitation. Since the implementation of routine DCC in the appropriate patient population, CNMs have observed increased patient and family involvement in the immediate postpartum period and greater patient satisfaction. Outcomes with DCC, based on literature review, reveal more skin-to-skin time between newborn and mother, longer duration of breastfeeding, improved regulation and stabilization of neonatal vital signs during the transitional period, and a transmission of stem cells during DCC with immeasurable potential health value. Implications related to the implementation of DCC included educating all Women's Services medical staff and patients on the maternal and neonatal benefits of DCC, dispelling specific myths associated with DCC, and increasing data collection.
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