Childbirth practices, protocols, or "standards of care"
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Apgar

Oxygen
an urgent ongoing need

Transition
fetal to postnatal circulation

Tradition

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Contact: Eileen Nicole Simon
eileen4brainresearch@yahoo.com
Apgar scores of
8, 9, or 10
Published
protocol
WAIT A MINUTE
Cochrane Review
Comments on the
Cochrane Review
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Slow birth
The protocol for clamping the cord "immediately after birth" is also included in a book by
Turrentine,
Clinical Protocols in Obstetrics and Gynecology, Second Edition, 2003,
along with the following instructions
:
(1)
Doubly clamp cord segment (10-20 cm) immediately after birth in all deliveries, and
place on table.
(2)
pH and acid-base determinations indicated for:
- prematurity
- meconium
- nuchal cord
- low Apgar scores (< 7 at 5 minutes)
- abnormal antepartum fetal heart tracing
- any serious problem with delivery or neonate's condition
(3)
If unable to obtain cord specimen, aspirate artery on chorionic surface of placenta
(4)
Discard cord segment if 5 minute Apgar score satisfactory and newborn
stable/vigorous.
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Posted: February 27, 2006
(a work in progress)