ArticleEuropean journal of midwifery2022
Umbilical cord clamping and management of the third stage of labor: A telephone-survey describing Swedish midwives' clinical practice.
Article in European journal of midwifery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 14 citations in OpenAlex.
- Artificial Intelligence and Tacit Knowledge Integration in Midwifery: Policy Implications for Improving Healthcare Outcomes.International nursing review · 2025Review
- South African midwives' knowledge of the benefits of delayed umbilical cord clamping.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Article
- 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
- Cord clamping beyond 3 minutes: Neonatal short-term outcomes and maternal postpartum hemorrhage.Birth (Berkeley, Calif.) · 2022Observational
- A hybrid type I, multi-center randomized controlled trial to study the implementation of a method for Sustained cord circulation And VEntilation (the SAVE-method) of late preterm and term neonates: a study protocol.BMC pregnancy and childbirth · 2022Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe timing of cord clamping impacts children's short- and long-term well-being. When making clinical decisions, midwives incorporate their tacit and professional knowledge, experience and current evidence. There appears to be a lack of knowledge regarding Swedish midwives' management of the third stage of labor and cord clamping practice. The aim of this study was to explore Swedish midwives' clinical practice concerning umbilical cord clamping and the third stage of labor in spontaneous vaginal births.
methodsThe study was designed as a cross-sectional telephone survey including 13 questions. Midwives were randomly selected from 48 births units in Sweden. Two midwives from each unit were interviewed. The primary outcome was timing of umbilical cord clamping practice in full-term infants. Secondary outcomes were the management of the third stage of labor including prophylactic use of synthetic oxytocin, the timing of cord clamping in preterm infants, controlled cord traction, uterine massage, and cord milking.
resultsAltogether, 95 midwives were interviewed. In full-term infants, all midwives preferred late cord clamping. Considerable heterogeneity was seen regarding the practices of synthetic oxytocin administration postpartum, controlled cord traction, uterine massage or cord milking, and cord clamping in preterm infants.
conclusionsMidwives in Sweden modify recommendations regarding delayed cord clamping in a way they might perceive as more natural and practical in their daily, clinical work. The study revealed a reluctance toward the administration of prophylactic oxytocin due to fear that the drug could pass to the infant. An overall large variation of the management of the third stage of labor was seen.
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