ILCOR now recommends delayed cord clamping of at least 30 seconds in term and preterm neonates. Due to insufficient evidence they
provide no specific advice about the neonate that requires resuscitation. Hypovolaemia is well recognised to lead to a neonate who will not
respond to positive pressure ventilation until the hypovolaemia is corrected. It is therefore essential that any clinical situation which may
result in hypovolaemia is avoided if possible. Until the specific evidence becomes clear, the case for the default to be delayed cord clamping
in all babies is provided.
Author(s): David Hutchon
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