Table 1Summary of the protocol (PICO table)

Population
  • Women in labour who are pregnant with a single baby, who go into labour at term (37 to 42 weeks of pregnancy)
Intervention
  • Before clamping the umbilical cord, the baby is held at a higher level in relation to the uterus, for example:
    • mother’s abdomen level
    • mother’s chest level
Comparison
  • Before clamping the umbilical cord, the baby is held:
    • at vaginal level
    • below vaginal level
    • any of the above interventions
OutcomeCritical:
  • Jaundice requiring phototherapy or exchange transfusion
  • Infant haemoglobin concentration (24 hours after birth and 3- 6 months after birth)
  • Apgar score <7 at 5 minutes
Important:
  • Women’s experience of labour and birth
  • Skin-to-skin contact (uninterrupted, for example minimum 30 mins in the first hour)
  • Breastfeeding (as defined by the study)
  • Neonatal admission

From: Evidence reviews for position of the baby during cord clamping

Cover of Evidence reviews for position of the baby during cord clamping
Evidence reviews for position of the baby during cord clamping: Intrapartum care: Evidence review N.
NICE Guideline, No. 235.
Copyright © NICE 2023.

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