Recomendações para o Clampeamento do Cordão Umbilical

O clampeamento do cordão umbilical depois de 30 segundos no prematuro <34 semanas de gestação e depois de 60 segundos no neonato pré-termo tardio e a termo com boa vitalidade ao nascer é um procedimento simples, sem custo, que pode trazer vários benefícios, e que não acarreta riscos para o binômio mãe-filho. Trata-se de uma BOA PRÁTICA realizada pelos profissionais de saúde no momento do nascimento.

Recomendações sobre o clampeamento do cordão umbilical.  Diretriz da Sociedade Brasileira de Pediatria (SBP) e Federação Brasileira de Associações de Ginecologia  e Obstetrícia (FEBRASGO). 2022.

Download da apresentação em: <https://www.arca.fiocruz.br/handle/icict/56123>

Referências citadas

• Sociedade Brasileira de Pediatria (SBP) e Federação Brasileira de Associações de Ginecologia e Obstetrícia (FEBRASGO). Recomendações Sobre o Clampeamento do Cordão Umbilical. 2022.
• World Health Organization. (‎2017)‎. WHO recommendations on newborn health: guidelines approved by the WHO Guidelines Review Committee. World Health Organization. https://apps.who.int/iris/handle/10665/259269. Licença: CC BY-NC-SA 3.0 IGO.
• National Institute for Health and Care Excellence (NICE). Intrapartum care for healthy women and babies (CG190) Clinical guideline, 3 December 2014.
• Petrucce LFF, Oliveira LR, Oliveira VR, Oliveira SR. Humanização no atendimento ao parto baseada em evidências. Femina. 2017;45(4):212-22.
• American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice. Delayed Umbilical Cord Clamping After Birth: ACOG Committee Opinion, Number 814. Obstet Gynecol. 2020;136(6):e100-e106. doi:10.1097/AOG.0000000000004167
• Sociedade Brasileira de Pediatria (SBP). Programa de Reanimação Neonatal. Diretrizes da Sociedade Brasileira de Pediatria. Versão 2016 com atualizações em maio de 2021. Reanimação do recém-nascido <34 semanas em sala de parto. Mai. 2021.
• Sociedade Brasileira de Pediatria (SBP). Programa de Reanimação Neonatal. Diretrizes da Sociedade Brasileira de Pediatria. Versão 2016 com atualizações em maio de 2021. Reanimação do recém-nascido ≥34 semanas em sala de parto. Mai. 2021.
• Wyckoff MH, Singletary EM, Soar J, et al. 2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Neonatal Life Support; Education, Implementation, and Teams; First Aid Task Forces; and the COVID-19 Working Group. Resuscitation. 2021;169:229-311. doi:10.1016/j.resuscitation.2021.10.040
• Niermeyer, S. A physiologic approach to cord clamping: Clinical issues. matern health, neonatol and perinatol 1, 21 (2015).
• Polglase GR, Dawson JA, Kluckow M, et al. Ventilation onset prior to umbilical cord clamping (physiological-based cord clamping) improves systemic and cerebral oxygenation in preterm lambs. PLoS One. 2015;10(2):e0117504. Published 2015 Feb 17. doi:10.1371/journal.pone.0117504.
• Vain NE, Satragno DS, Gorenstein AN, et al. Effect of gravity on volume of placental transfusion: a multicentre, randomised, non-inferiority trial. Lancet. 2014;384(9939):235-240. doi:10.1016/S0140-6736(14)60197-5
• World Health Organization (WHO). WHO Recommendations for the Prevention and Treatment of Postpartum Haemorrhage. 2012.
• McDonald SJ, Middleton P, Dowswell T, Morris PS. Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. Cochrane Database Syst Rev. 2013;2013(7):CD004074. Published 2013 Jul 11. doi:10.1002/14651858.CD004074.pub3.
• Gomersall J, Berber S, Middleton P, et al. Umbilical Cord Management at Term and Late Preterm Birth: A Meta-analysis. Pediatrics. 2021;147(3):e2020015404. doi:10.1542/peds.2020-015404
• Kc A, Rana N, Målqvist M, Jarawka Ranneberg L, Subedi K, Andersson O. Effects of Delayed Umbilical Cord Clamping vs Early Clamping on Anemia in Infants at 8 and 12 Months: A Randomized Clinical Trial. JAMA Pediatr. 2017;171(3):264-270. doi:10.1001/jamapediatrics.2016.3971
• Rana N, Kc A, Målqvist M, Subedi K, Andersson O. Effect of Delayed Cord Clamping of Term Babies on Neurodevelopment at 12 Months: A Randomized Controlled Trial. Neonatology. 2019;115(1):36-42. doi:10.1159/000491994.
• Zhao Y, Hou R, Zhu X, Ren L, Lu H. Effects of delayed cord clamping on infants after neonatal period: A systematic review and meta-analysis. Int J Nurs Stud. 2019;92:97-108. doi:10.1016/j.ijnurstu.2019.01.012
• Berg JHM, Isacson M, Basnet O, et al. Effect of Delayed Cord Clamping on Neurodevelopment at 3 Years: A Randomized Controlled Trial. Neonatology. 2021;118(3):282-288. doi:10.1159/000515838
• KC A, Budhathoki SS, Thapa J Nepal Neonatal Network, et al Impact of stimulation among non-crying neonates with intact cord versus clamped cord on birth outcomes: observation study BMJ Paediatrics Open 2022;5:e001207.
• Katheria AC, Brown MK, Faksh A, et al. Delayed Cord Clamping in Newborns Born at Term at Risk for Resuscitation: A Feasibility Randomized Clinical Trial. J Pediatr. 2017;187:313-317.e1. doi:10.1016/j.jpeds.2017.04.033
• Chopra A, Thakur A, Garg P, Kler N, Gujral K. Early versus delayed cord clamping in small for gestational age infants and iron stores at 3 months of age – a randomized controlled trial. BMC Pediatr. 2018;18(1):234. Published 2018 Jul 18. doi:10.1186/s12887-018-1214-8
• De Bernardo, Giuseppe et al. “A randomized controlled study of immediate versus delayed umbilical cord clamping in infants born by elective caesarean section.” Italian journal of pediatrics vol. 46,1 71. 24 May. 2020, doi:10.1186/s13052-020-00835-2
• Jeevan A, Ananthan A, Bhuwan M, Balasubramanian H, Rao S, Kabra NS. Umbilical cord milking versus delayed cord clamping in term and late-preterm infants: a systematic review and meta-analysis [published online ahead of print, 2021 Feb 10]. J Matern Fetal Neonatal Med. 2021;1-11. doi:10.1080/14767058.2021.1884676
• Te Pas A, Roehr CC, Foglia EE, Hooper S. Neonatal resuscitation research: closing the gap. Pediatr Res. 2021;90(6):1117-1119. doi:10.1038/s41390-021-01403-y
• Rabe H, Gyte GM, Díaz-Rossello JL, Duley L. Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes. Cochrane Database Syst Rev. 2019;9(9):CD003248. Published 2019 Sep 17. doi:10.1002/14651858.CD003248.pub4
• Fogarty M, Osborn DA, Askie L, et al. Delayed vs early umbilical cord clamping for preterm infants: a systematic review and meta-analysis. Am J Obstet Gynecol. 2018;218(1):1-18. doi:10.1016/j.ajog.2017.10.231
• Seidler AL, Gyte GML, Rabe H, et al. Umbilical Cord Management for Newborns <34 Weeks’ Gestation: A Meta-analysis. Pediatrics. 2021;147(3):e20200576. doi:10.1542/peds.2020-0576
• Katheria A, Reister F, Essers J, et al. Association of Umbilical Cord Milking vs Delayed Umbilical Cord Clamping With Death or Severe Intraventricular Hemorrhage Among Preterm Infants. JAMA. 2019;322(19):1877-1886. doi:10.1001/jama.2019.16004
• Duley L, Dorling J, Pushpa-Rajah A, et al. Randomised trial of cord clamping and initial stabilisation at very preterm birth. Arch Dis Child Fetal Neonatal Ed. 2018;103(1):F6-F14. doi:10.1136/archdischild-2016-312567
• Meyer MP, Nevill E, Wong MM. Provision of respiratory support compared to no respiratory support before cord clamping for preterm infants. Cochrane Database Syst Rev. 2018;3(3):CD012491. Published 2018 Mar 8. doi:10.1002/14651858.CD012491.pub2
• Vesoulis ZA, Liao SM, Mathur AM. Delayed cord clamping is associated with improved dynamic cerebral autoregulation and decreased incidence of intraventricular hemorrhage in preterm infants. J Appl Physiol (1985). 2019;127(1):103-110. doi:10.1152/japplphysiol.00049.2019

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FUNDAÇÃO OSWALDO CRUZ. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Portal de Boas Práticas em Saúde da Mulher, da Criança e do Adolescente. Postagens: Recomendações para o Clampeamento do Cordão Umbilical. Rio de Janeiro, 08 abr. 2022. Disponível em: <https://portaldeboaspraticas.iff.fiocruz.br/atencao-recem-nascido/boas-praticas-ao-nascimento-recomendacoes-para-o-clampeamento-do-cordao-umbilical/>.