| The protocol for clamping the cord "immediately after birth" is included in a book by Turrentine JE, Clinical Protocols in Obstetrics and Gynecology, Second Edition, 2003, with the following instructions: |
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| (1) Doubly clamp cord segment (10-20 cm) immediately after |
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| birth in all deliveries, and place on table. |
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| (2) pH and acid-base determinations indicated for: |
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| - 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 |
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| (3) If unable to obtain cord specimen, aspirate artery on |
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| chorionic surface of placenta |
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| (4) Discard cord segment if 5 minute Apgar score satisfactory |
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| and newborn stable/vigorous |
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| 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 |
Notes |
FNPS 2006 |
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