ArticleBMC pregnancy and childbirth2018
Maternal bleeding complications following early versus delayed umbilical cord clamping in multiple pregnancies.
Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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The trial behind it
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Who cites it
12 citing papers in PubMed, 31 citations in OpenAlex.
- Delayed versus early umbilical cord clamping for near-term infants born to preeclamptic mothers; a randomized controlled trial.BMC pregnancy and childbirth · 2022Trial
- A randomized controlled study of immediate versus delayed umbilical cord clamping in infants born by elective caesarean section.Italian journal of pediatrics · 2020Trial
- Deferred cord clamping in twin pregnancies: benefit, risk, or missed opportunity? A narrative review.Resuscitation plus · 2026Review
- Effect of delayed cord clamping on maternal and neonatal outcomes during cesarean delivery in twin pregnancies.BMC pregnancy and childbirth · 2026Article
- Article
- Impact of the Timing of Umbilical Cord Clamping on Maternal and Neonatal Outcomes in Saudi Arabia.Cureus · 2024Article
- Effect of delayed cord clamping on maternal and neonatal outcome in twin pregnancies: a retrospective cohort study.Scientific reports · 2023Article
- Maternal implications of placental transfusion.Seminars in perinatology · 2023Article
- Article
- Placental transfusion and short-term outcomes among extremely preterm infants.Archives of disease in childhood. Fetal and neonatal edition · 2021Observational
- Neonatal outcomes in preterm multiples receiving delayed cord clamping.Archives of disease in childhood. Fetal and neonatal edition · 2019Observational
- Early versus delayed umbilical cord clamping on maternal and neonatal outcomes.Archives of gynecology and obstetrics · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2015, the American Academy of Pediatrics recommended delayed umbilical cord clamping for at least 30-60 s for all infants. However, there is limited data regarding the maternal safety of delayed cord clamping in multiple pregnancies. We aimed to compare the maternal bleeding complications following early cord clamping (ECC) versus of delayed cord clamping (DCC) in multiple pregnancies.
methodsA retrospective cohort study of pregnant women with multiples who delivered live-born infants at Sharp Healthcare Hospitals in San Diego, CA, USA during January 1st, 2016 - September 30th, 2017. Bleeding complications of 295 women who underwent ECC (less than 30 s) were compared with 154 women who underwent DCC (more than 30 s). ECC or DCC was performed according to individual obstetrician discretion.
resultsFour hundred forty-nine women with multiple pregnancies (N = 910 infants) were included in the study. 252 (85.4%) women underwent cesarean section in ECC group vs. 99 (64.3%) in DCC group. 58 (19.7%) women delivered monochorionic twins in ECC group vs. 32 (20.8%) women in DCC group. There was no increase in maternal estimate blood loss when DCC was performed comparing to ECC. There were no differences in operative time, post-delivery decrease in hematocrits, rates of postpartum hemorrhage, bleeding complications, maternal blood transfusions and therapeutic hysterectomy between the two groups.
conclusionsNo differences in maternal bleeding complications were found with DCC in multiple pregnancies compared to ECC. Delayed cord clamping can be done safely in multiple pregnancies without any increased maternal risk.
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Registered trials
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