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Brief Report

A Feasibility Study of a Novel Delayed Cord Clamping Cart

Department of Pediatrics, Stanford University, Stanford, CA 94305, USA
The Hasso Plattner Institute of Design, Stanford University, Stanford, CA 94305, USA
Authors to whom correspondence should be addressed.
Academic Editor: Simone Pratesi
Children 2021, 8(5), 357;
Received: 16 April 2021 / Revised: 27 April 2021 / Accepted: 27 April 2021 / Published: 29 April 2021
(This article belongs to the Special Issue Neonatal Resuscitation with Placental Circulation Intact)
Delaying umbilical cord clamping (DCC) for 1 min or longer following a neonate’s birth has now been recommended for preterm and term newborns by multiple professional organizations. DCC has been shown to decrease rates of iron deficiency anemia, intraventricular hemorrhage (IVH), necrotizing enterocolitis (NEC), and blood transfusion. Despite these benefits, clinicians typically cut the umbilical cord without delay in neonates requiring resuscitation and move them to a radiant warmer for further care; this effectively prevents these patients from receiving any benefits from DCC. This study evaluated the feasibility of a delayed cord clamping cart (DCCC) in low-risk neonates born via Cesarean section (CS). The DCCC is a small, sterile cart designed to facilitate neonatal resuscitation while the umbilical cord remains intact. The cart is cantilevered over the operating room (OR) table during a CS, allowing the patient to be placed onto it immediately after birth. For this study, a sample of 20 low-risk CS cases were chosen from the non-emergency Labor and Delivery surgical case list. The DCCC was utilized for 1 min of DCC in all neonates. The data collected included direct observation by research team members, recorded debriefings and surveys of clinicians as well as surveys of patients. Forty-four care team members participated in written surveys; of these, 16 (36%) were very satisfied, 12 (27%) satisfied, 13 (30%) neutral, and 3 (7%) were somewhat dissatisfied with use of the DCCC in the OR. Feedback was collected from all 20 patients, with 18 (90%) reporting that they felt safe with the device in use. This study provides support that utilizing a DCCC can facilitate DCC with an intact umbilical cord. View Full-Text
Keywords: neonatology; resuscitation; delayed cord clamping; simulation neonatology; resuscitation; delayed cord clamping; simulation
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MDPI and ACS Style

Joshi, N.S.; Padua, K.; Sherman, J.; Schwandt, D.; Sie, L.; Gupta, A.; Halamek, L.P.; Lee, H.C. A Feasibility Study of a Novel Delayed Cord Clamping Cart. Children 2021, 8, 357.

AMA Style

Joshi NS, Padua K, Sherman J, Schwandt D, Sie L, Gupta A, Halamek LP, Lee HC. A Feasibility Study of a Novel Delayed Cord Clamping Cart. Children. 2021; 8(5):357.

Chicago/Turabian Style

Joshi, Neha S., Kimber Padua, Jules Sherman, Douglas Schwandt, Lillian Sie, Arun Gupta, Louis P. Halamek, and Henry C. Lee 2021. "A Feasibility Study of a Novel Delayed Cord Clamping Cart" Children 8, no. 5: 357.

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