30 seconds might be enough when delaying cord clamping at cesarean sections

A delay of umbilical cord clamping by 30 seconds at elective cesarean section results in the similar iron stores as after 3 minutes delay of cord clamping in vaginally born infants, and provides better iron stores than immediate cord clamping in vaginally born infants.
 
In November 2nd, BMJ Open published our paper: 'Elective caesarean: does delay in cord clamping for 30 s ensure sufficient iron stores at 4 months of age? A historical cohort control study'

In this study we compared iron stores at 4 and 12 months of age in infants born after elective cesarean section with their umbilical cords clamped after 30 seconds with infants born vaginally and who either had their cord clamped immediately or after 3 minutes.
 
This was actually not what we had expected. Earlier research had implied that the placental transfusion after elective cesarean was rather small and should render similar iron stores as the immediately clamped vaginally born infants. This may likely be the case if the cord also is clamped immediately after CS. What was also quite surprising was that the placental transfusion seems to happen faster after CS than after vaginally birth, as 30 seconds after CS was comparable with 3 minutes after vaginally birth. This might be explained by the fact that babies born vaginally are under a normal strain and have higher blood pressure than babies after CS.
 
The paper can be read here: Andersson O, Hellström-Westas L, Domellöf M. Elective caesarean: does delay in cord clamping for 30 s ensure sufficient iron stores at 4 months of age? A historical cohort control study. BMJ Open 2016;6:e012995. doi: 10.1136/bmjopen-2016-012995

http://dx.doi.org/10.1136/bmjopen-2016-012995