Abstract:
Delayed umbilical cord clamping means clamping the umbilical cord 1-3 minutes after the birth or when the umbilical cord pulsation has ceased. More evidence based researches have shown delayed cord clamping provides adequate blood volume and birth iron stores, thus decreases the risk of iron deficiency anemia during infant period. Delayed cord clamping can also decrease risk of intraventricular haemorrhage, necrotizing enterocolitis and late-onset sepsis among preterm babies. Delayed cord clamping has no effect on maternal bleeding or length of the third stage of labour. The World Health Organization (WHO) recommends delayed umbilical cord clamping as an effective public health intervention for improved maternal and infant health and nutrition outcomes. Since 2016, China has introduced from WHO and developed the Chinese version of guideline on Early Essential Newborn Care (EENC) . The key recommended interventions of EENC include appropriate perinatal monitoring of the pregnancy women and fetus, immediate and thoroughly drying of the newborn, continuous and prolonged skin-to-skin contact of the mother and newborn, delayed cord clamping, kangaroo mother care, and resuscitation. These simple and cost-effective interventions have been included in the newly issued Healthy Children Action Plan (2018-2020) and will be scaled up nationwide in the future.