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BMJ 2006;333 (4 November), doi:10.1136/bmj.333.7575.0-b
Delayed umbilical cord clamping after delivery, combined with oxytocin administration to reduce maternal blood loss, is recommended in any resource poor setting say van Rheenen and Brabin (p 954). Meta-analyses of randomised controlled trials found that in term babies delayed cord clamping reduced infant anaemia and improved survival. In preterm babies it reduced the number of neonatal blood transfusions. The authors recommend that cord clamping should be delayed for three minutes for optimal placental transfusion and for at least 60 seconds when newborns appear distressed.
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