Senior Honors Projects, 2010-current

Date of Award

Fall 2016

Document Type

Thesis

Degree Name

Bachelor of Science in Nursing (BSN)

Department

Department of Nursing

Advisor(s)

Karen Jagiello

Sandra Annan

Marjorie Scheikl

Abstract

The purpose of this paper is to explore the state of the science related to delayed versus early umbilical cord clamping. This interprofessional change in practice and protocol needs to take place within obstetric practice, which can be made up of obstetricians, midwives, nurse practitioners, and nurses. Patients must be educated by their providers so that they can better understand the care being performed. A search of the literature published through PubMed was conducted using the key phrases delayed umbilical cord clamping (DUCC), benefits of delayed cord clamping, and umbilical cord protocols. The search yielded 133 titles, which was limited to peer-reviewed, full-text research articles between the years 2011 to January 2016. After reading through the articles, another 100 were excluded because they did not include extensive information regarding the benefits of DUCC and/or management strategies for future policy development with 33 remaining for inclusion in this review. In research, the benefits of DUCC are the results of the influx of stem cells and iron in addition to the supplemental blood provided to the newborn. The disadvantage is the increased risk for hyperbilirubinemia in newborns. It can be maintained that the benefits of DUCC outweigh the disadvantages for both mothers and newborns. It is necessary that the interprofessional team implements research found on delayed versus early cord clamping in the form of evidence-based practice to deliver more complete care to women and newborns.

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