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Ventilation, Chest Compression and Placental Circulation at Neonatal Resuscitation –ILCOR Recommendation 2015

David Hutchon

ILCOR now recommends delayed cord clamping of at least 30 seconds in term and preterm neonates. Due to insufficient evidence they provide no specific advice about the neonate that requires resuscitation. Hypovolaemia is well recognised to lead to a neonate who will not respond to positive pressure ventilation until the hypovolaemia is corrected. It is therefore essential that any clinical situation which may result in hypovolaemia is avoided if possible. Until the specific evidence becomes clear, the case for the default to be delayed cord clamping in all babies is provided.