Seven trials have compared the timing of cord clamping.
Statistically non-significant findings from clinical trials
have suggested that there may be risks inherent in the
intervention of early cord clamping, including retained
placenta, and increased bleeding,29 but there is not
sufficient evidence to establish whether or not such risks
exist. Methodological weakness, small sample size and
variation in outcomes measured make interpretation
difficult. Evidence published to date has not clearly
established the impact of the timing of cord clamping on
postpartum blood loss,29,51 and further investigation is
needed. Until such time as studies reveal the effect of
this component of active management on blood loss and
its ideal timing, clamping of the cord may be done
immediately or when pulsation ceases