Implications for Future Research
Ultimately it is clear that the timing of umbilical cord clamping will be a topic of discussion for years to come. We are still not able to make concrete recommendations on whom it should be used and what amount of time allows for the maximum benefits. Further studies are needed to help understand the multiple variables that affect timing of umbilical cord clamping. It is suggested that delayed cord clamping provides the infant with blood that is enriched with immunoglobulins and stem cells, which provide the potential for improved organ repair and rebuilding after injury from disorders caused by preterm birth. The benefits of enhanced stem cells transfusion with delayed cord clamping will need to be evaluated further. It is important for the researcher to look at understanding the relationships between delayed cord clamping and also with the initiation of mechanical or assisted ventilation. Perhaps one of the biggest areas to focus on would be whether the ideal time differs for vaginal versus cesarean section. Lastly, further research will be needed to differentiate between the need for cord milking versus delayed cord clamping in infants less than 28 weeks’ gestation.