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Check paper for AI generator and correct Delayed Cord Clamping in Labor and Delivery: A Balanced Perspective Fort Hays State University RN to BSN NURS 447 Issues and Trends Facing Healthcare August 25, 2024 Overview Delayed cord clamping (DCC) is extensively used in labor and delivery (L&D) units. This technique involves an intentional delay in umbilical chord clipping following birth, which may have certain benefits for newborns but also contains some risks. Supported by current research, this paper looks at the benefits and drawbacks of DCC and finishes with an informed opinion on its application in L&D settings. Advantages Particularly in terms of the blood-related and developmental results for neonates, the benefits of delaying the umbilical cord clipping are quite clear-cut. Delayed cord clamping (DCC) has been linked in studies to higher levels of hemoglobin and iron stores in newborns, therefore lowering their first year of life’s risk of anemia (Andersson, Hellström-Westas, Andersson, & Domellöf, 2017). Furthermore linked to enhanced circulatory stability in premature children is Delayed Cord Clamping (DCC), which lowers the need for blood transfusions and advances long-term neurodevelopment (Rabe, Gyte, Díaz-Rossello, Duley, & Fernández, 2019). These benefits underline the need of DCC in improving neonatal health, particularly in vulnerable communities. Disadvantages DCC brings many advantages, but it is not without certain drawbacks. The higher sensitivity to jaundice brought on by higher red blood cell volumes raises questions regarding bilirubin levels (Katheria, Truong, Cousins, Oshiro, & Finer, 2019). For this condition, especially in premature infants, which might tax hospital resources, phototherapy and extra monitoring could be needed. Furthermore, delayed cord clamping (DCC) could delay necessary operations in critical conditions requiring rapid resuscitation of a newborn, therefore compromising the state of the infant (Al-Wassia & Shah, 2015). Consideration of Opposing Views Particularly in circumstances where newborn resuscitation is required or where there is a great danger of jaundice, several parties, groups, and people advocate the immediate cord clamping technique. These include some medical experts including pediatricians, neonatologists, and hospitals that give quick treatment following birth first priority—especially for premature newborns or infants with known problems. Both sides might much benefit from open and cooperative communication as well as from combined research projects in order to balance the variations between supporters of DCC (delayed cord clamping) and proponents of instantaneous cord clamping. Healthcare professionals from both sides could, for instance, engage in multidisciplinary discussions to share their opinions and the most current findings. Moreover, a more patient-centered care environment can be created by including parental preferences and giving them knowledge on the benefits and drawbacks of both strategies. Depending on the particular clinical situation, both people and companies from both sides can try to establish policies that could assist both approaches. This could include creating decision trees or algorithms that give Delayed Cord Clamping (DCC) or prompt clamping top priority depending on specific newborn or mother traits. These cooperative projects would help to ensure that every newborn receives the best possible therapy that is especially catered to their particular needs, therefore improving the general outcomes. My Opinion Given the current data, it is advised that, especially in healthy, full-term neonates, delayed cord clamping be applied generally as the standard practice for most births. Usually, the benefits for newborns—such as improved iron reserves and steady cardiovascular function—exceed the possible negative effects. Still, the decision to postpone cord clamping should be individualized, considering the benefits of delayed cord clamping in relation to the newborn’s immediate medical needs in cases of emergency or when there is a great risk of jaundice. Conclusion In neonatal care, delayed cord clamping offers clear benefits including the prevention of anemia and the stimulation of neurodevelopment. Still, the application of this should be tailored to fit certain therapeutic settings so as to lower potential risks. By carefully balancing the benefits and drawbacks and considering opposing viewpoints, healthcare professionals can make well-informed decisions maximizing outcomes for both mothers and newborns in labor and delivery environments. References Al-Wassia, H., & Shah, P. S. (2015). Efficacy and safety of delayed versus early umbilical cord clamping in preterm infants: A systematic review and meta-analysis. American Journal of Obstetrics & Gynecology, 213(3), 355-364. https://doi.org/10.1016/j.ajog.2015.03.073 Andersson, O., Hellström-Westas, L., Andersson, D., & Domellöf, M. (2017). Effect of delayed versus early umbilical cord clamping on neonatal outcomes and iron status at 4 months: A randomized controlled trial. BMJ, 343, d7157. https://doi.org/10.1136/bmj.d7157 Katheria, A. C., Truong, G., Cousins, L., Oshiro, B., & Finer, N. N. (2019). Umbilical cord milking versus delayed cord clamping in preterm infants. Pediatrics, 136(1), 61-69. https://doi.org/10.1542/peds.2014-2467 Rabe, H., Gyte, G. M., Díaz-Rossello, J. L., Duley, L., & Fernández, S. M. (2019). Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes. Cochrane Database of Systematic Reviews, 9, CD004074. https://doi.org/10.1002/14651858.CD004074.pub3

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