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Integrated review of the knowledge, attitudes, and practices of maternity health care professionals concerning umbilical cord clamping
Journal article   Open access   Peer reviewed

Integrated review of the knowledge, attitudes, and practices of maternity health care professionals concerning umbilical cord clamping

Lisa Peberdy, Jeanine Young, Debbie Massey and Lauren Kearney
Birth, Vol.49(4), pp.595-615
2022
PMCID: PMC9790596
PMID: 35582849
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Integrated review of the knowledge, attitudes, and practices of maternity health care professionals concerning umbilical cord clamping VoR1.28 MBDownloadView
Published Version Open Access CC BY V4.0
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https://doi.org/10.1111/birt.12647View
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Abstract

cord clamping integrative review midwives obstetricians placental transfusion
Background: Umbilical cord clamp timing has implications for newborn health, which include increased iron stores up to 6 months of age. National and International cord clamping guidelines differ as do health professionals' prac-tices. The rationale for differences in cord clamping practice is unclear.Aims and objective: Studies on the knowledge, attitudes, and practices of ma-ternity health care professionals about cord clamp timing were synthesized. Similarities and differences between professional groups and understanding of the optimal timing of cord clamp timing for term newborns were compared.Methods: An integrative review was undertaken. PubMed, Scopus, MIDIRS, CINAHL, and Google Scholar were searched. Publication date limits were set be-tween January 2007 and December 2020. Quality appraisal was undertaken using the Critical Appraisal Skills Program (CASP) tools.Results: Eighteen studies met inclusion criteria, as they included primary re-search studies that investigated maternity health care professionals' knowledge, attitudes, and practices about umbilical cord clamping, and were written in English. Four main subject areas were identified: a) knowledge of optimal cord clamp timing; b) attitudes and perceptions of early vs deferred cord clamping; c) cord clamping practice; and d) rationale for cord clamping practice.Conclusions: Different attitudes and practices were identified between mid-wifery and medical professionals in relation to cord clamp timing together with health professional knowledge and practice gaps pertaining to optimal cord clamp timing. Contemporary evidence should inform guidelines for clinical prac-tice and be embedded into maternity health professional curricula and profes-sional development programs.

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Domestic collaboration
Web Of Science research areas
Nursing
Obstetrics & Gynecology
Pediatrics

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#3 Good Health and Well-Being

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