PMID- 24215582 OWN - NLM STAT- MEDLINE DCOM- 20150512 LR - 20220408 IS - 1476-4954 (Electronic) IS - 1476-4954 (Linking) VI - 27 IP - 14 DP - 2014 Sep TI - Obstetricians' attitudes and beliefs regarding umbilical cord clamping. PG - 1457-61 LID - 10.3109/14767058.2013.864275 [doi] AB - OBJECTIVE: Although delayed umbilical cord clamping has been demonstrated to reduce the incidence of intraventricular hemorrhage and neonatal sepsis, and decrease the need for neonatal transfusions (without affecting cord pH, Apgar scores or the need for phototherapy), the extent to which this practice is being employed is unknown. We conducted a survey of US obstetricians to assess their attitudes and beliefs about cord clamping. STUDY DESIGN: Questionnaires were randomly mailed to members of the American College of Obstetricians and Gynecologists (ACOG), and the Collaborative Ambulatory Research Network (CARN). The data were analyzed using Chi-square and Student t tests. RESULTS: The response rates for the CARN and other ACOG members were 47% and 21%, respectively. Most (88%) responders reported their hospital had no umbilical cord clamping policy. The most frequent response for optimal timing of umbilical cord clamping, regardless of gestational age, was "don't know". Potential for neonatal red blood cell transfusion was the only concern cited as a reason for being somewhat or very inclined to delay umbilical cord clamping (51%). Delayed neonatal resuscitation (76%) was listed as a reason to clamp the cord immediately, despite the paucity of literature to support immediate cord clamping in this cohort. CONCLUSION: Despite substantial evidence supporting the practice of delayed cord clamping, few institutions have policies regarding this practice. Moreover, obstetricians' beliefs about the appropriate timing for umbilical cord clamping are not consistent with the evidence that demonstrates its beneficial impact on neonatal outcomes. FAU - Jelin, Angie C AU - Jelin AC AD - Department of Obstetrics, Gynecology and Reproductive Sciences, University of California , San Francisco, CA , USA . FAU - Kuppermann, Miriam AU - Kuppermann M FAU - Erickson, Kristine AU - Erickson K FAU - Clyman, Ronald AU - Clyman R FAU - Schulkin, Jay AU - Schulkin J LA - eng GR - R60 MC05674/PHS HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. DEP - 20131212 PL - England TA - J Matern Fetal Neonatal Med JT - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians JID - 101136916 SB - IM MH - *Attitude of Health Personnel MH - Cerebral Hemorrhage/prevention & control MH - Constriction MH - Female MH - Gestational Age MH - Humans MH - Infant, Newborn MH - Male MH - *Obstetrics MH - Physicians/*psychology MH - Practice Patterns, Physicians'/statistics & numerical data MH - Pregnancy MH - Sepsis/prevention & control MH - Time Factors MH - Umbilical Cord/*surgery MH - United States/epidemiology MH - Workforce OTO - NOTNLM OT - Delayed clamping OT - opinion OT - preterm OT - survey OT - term EDAT- 2013/11/13 06:00 MHDA- 2015/05/13 06:00 CRDT- 2013/11/13 06:00 PHST- 2013/11/13 06:00 [entrez] PHST- 2013/11/13 06:00 [pubmed] PHST- 2015/05/13 06:00 [medline] AID - 10.3109/14767058.2013.864275 [doi] PST - ppublish SO - J Matern Fetal Neonatal Med. 2014 Sep;27(14):1457-61. doi: 10.3109/14767058.2013.864275. Epub 2013 Dec 12.