What is the recommended delay for clamping the umbilical cord in most vigorous newborns not requiring resuscitation?

The recommended delay for clamping the umbilical cord in most vigorous newborns not requiring resuscitation is 30-60 seconds. This practice is supported by current guidelines aimed at improving outcomes for newborns. Delaying cord clamping allows for additional blood flow from the placenta to the newborn, which can enhance blood volume and improve iron stores, potentially reducing the risk of anemia in infancy.

Research indicates that this delay can lead to better transition for the newborn, including improved cardiopulmonary stability and better establishment of respiratory function. Clamping the cord too early, such as immediately after birth, can deprive the newborn of this additional blood supply, which is critical for their initial adaptation to life outside the womb.

The specified 30-60 seconds allows for an optimal balance, ensuring that the benefits of delayed clamping are realized without overly delaying necessary postpartum interventions or resuscitation if it becomes required.