• A Menget, C Mougey, G Thiriez, and D Riethmuller.
• Service de pédiatrie 2, CHRU Jean-Minjoz, 25000 Besançon, France. amenget@chu-besancon.fr
• Arch Pediatr. 2013 Sep 1; 20 (9): 1022-7.

AbstractThe timing of umbilical cord clamping remains controversial. Although most maternity wards use the early clamping (5-15s), randomized studies and meta-analyses have demonstrated the benefit of delayed clamping for term and preterm newborn infants over the past 10 years. Indeed, placentofetal transfusion of 20-30 ml/kg in 2-3 min improves the iron status of term infants and prevents infant hypochromic anemia. Infant anemia is a public health problem in many developing countries. For preterm newborns, placental transfusion for 45 s or milking the cord for 15 s improves cardiovascular adaptation, with better hemodynamic stability, as well as decreased intraventricular hemorrhages, need for transfusion, and late-onset sepsis. A new look at this symbolic act is needed and professionals need to be persuaded of the importance of the "wait a minute" policy for a better physiological delivery.Copyright © 2013. Published by Elsevier SAS.

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