10.6084/m9.figshare.4702681.v1
Boere I.
Boere
I.
Smit M.
Smit
M.
Roest A.A.W.
Roest
A.A.W.
Lopriore E.
Lopriore
E.
van Lith J.M.M.
van Lith J.M.M.
te Pas A.B.
te Pas
A.B.
Supplementary Material for: Current Practice of Cord Clamping in The Netherlands: A Questionnaire Study
Karger Publishers
2017
Cord clamping
Placental transfusion
The Netherlands
Obstetrics
Midwifery
2017-02-28 15:12:23
Dataset
https://karger.figshare.com/articles/dataset/Supplementary_Material_for_Current_Practice_of_Cord_Clamping_in_The_Netherlands_A_Questionnaire_Study/4702681
<p><b><i>Background:</i></b> Recent meta-analyses recommend delayed cord
clamping (DCC) after uncomplicated births as well as preterm births,
but there is no clear definition of timing and uniform national
guidelines are lacking. <b><i>Objective:</i></b> We aimed to investigate
if guidelines for the timing of cord clamping (CC) are followed and
what the national practice entails. <b><i>Methods:</i></b> A postal
questionnaire concerning CC after uncomplicated vaginal, Caesarean term
and preterm deliveries was sent to all midwifery practices (n = 526) and
obstetrical departments (n = 94) in the Netherlands. <b><i>Results:</i></b>
The response rate was 81% (500/620). CC protocols were present in 16
and 38% of midwifery and obstetric practices, respectively. Early cord
clamping (ECC) was recommended in 54%, DCC in 33%, 6% indicated a
specific time point and 7% did not specify. In current practice, DCC was
applied after uncomplicated vaginal term deliveries in 90% and ECC in
6%, and no timing was specified in 4%. Midwives used DCC more often than
obstetricians (97 vs. 75%). Cessation of cord pulsations was often
(54%) used as a time point, 40% used a fixed time point, 2% waited for
placental expulsion and 4% did not specify. ECC was preferred in
obstetric practices after Caesarean deliveries (in 81%). In preterm
births, ECC was practised by 36%, DCC by 54 and 10% did not specify. <b><i>Conclusion:</i></b>
In the Netherlands, although often not protocolized, DCC is widely used
after uncomplicated vaginal term and preterm deliveries, but not after
Caesareans. Cessation of cord pulsation is often used as the time point
for CC.</p>