ArticlePloS one2020
Early or delayed umbilical cord clamping? Experiences and perceptions of nurse-midwives and obstetricians at a regional referral hospital in Tanzania.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Care of the Newborn and Cord During the Third Stage of Labour (Scientific Impact Paper No. 78).BJOG : an international journal of obstetrics and gynaecology · 2026Review
- Delayed Cord Clamping and Early Neonatal Outcomes in Infants Born Before 30 Weeks of Gestation: A Retrospective Cohort Study.Children (Basel, Switzerland) · 2026Article
- Developing scalable strategies for early essential newborn care: A network-driven qualitative analysis.International journal of nursing studies advances · 2026Article
- Essential newborn care practices in selected public health facilities using observation of 2603 normal deliveries in Uttar Pradesh, India.BMJ global health · 2025Observational
- Article
- Determinants of nurse-midwives' compliance with delayed cord clamping in primary and secondary health facilities, Tanga Region: A cross-sectional study.PLOS global public health · 2025Article
- Article
- Integrated review of the knowledge, attitudes, and practices of maternity health care professionals concerning umbilical cord clamping.Birth (Berkeley, Calif.) · 2022Review
- Predictors of iron deficiency anaemia among children aged 6-59 months in Tanzania: Evidence from the 2015-16 TDHS-MIS cross-sectional household survey.PLOS global public health · 2022Article
- Impact of stimulation among non-crying neonates with intact cord versus clamped cord on birth outcomes: observation study.BMJ paediatrics open · 2021Observational
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2 authors.
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Abstract
backgroundUmbilical cord clamping is a crucial step during the third stage of labour that separates the newborn from the placenta. Despite the available evidence that delayed umbilical cord clamping is more beneficial to infants, as well as the existence of 2014 WHO recommendation that the umbilical cord should be clamped between 1 and 3 minutes, its implementation is still low in many countries including Tanzania.
objectiveThis study describes the experiences and perceptions of nurse-midwives`and obstetricians`about the timing of umbilical cord clamping at a regional referral hospital in Tanzania.
methodsA descriptive qualitative study design that adopted a purposeful sampling strategy to recruit 19 participants was used. Nine semi-structured interviews with six nurse-midwives`and three obstetricians`, as well as one focus group discussion with ten nurse-midwives`were conducted. Thematic analysis guided the analysis of data.
resultsThree main themes generated from the data, each having 2 to 5 subthemes. 1. Experiences about the timing of umbilical cord clamping. 2. Perceptions about the umbilical cord clamping. 3. Factors influencing the practice of delayed umbilical cord clamping to improve newborn health outcomes.
conclusionAlthough the nurse-midwives`and obstetricians`commonly practiced clamping the umbilical cord immediately after delivery, they understood that delayed cord clamping has a potential benefit of oxygenation to the newborn in the event of the need for resuscitation. To move forward with the good practice in maternal and newborn care, proper pre-service and providers training on matters underlying childbirth is essential to address the gap of knowledge. Delayed cord clamping should be practiced widely to improve the health outcomes of the newborn.
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