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PERIPrem bundle: Delayed cord clamping

You will have been hard-pressed to miss the international drive for delayed cord clamping (DCC), but the real challenge is to achieve this for all infants, even if they are extremely premature, require resuscitation at delivery or are part of a twin delivery.

It will be key to establish a multi-disciplinary champion group, within or as an extension of your PERIPrem team, to integrate the clinical importance of this into the Perinatal team and to be able to explore the human factors and technicalities of achieving this in a safe, planned way that addresses fears and embeds complex DCC into routine practice. There are multiple resources available below, on hand experience of teams who have already established DCC for all babies and experienced quality improvement coaches to help your team realise this goal.

We encourage you to look across the three “capsules” of Process, Training and Education and Communications and Engagement when planning and implementing any changes, we know from experience that action needs to be taken across all three capsules to see a progress. These areas will be covered in the unit-level training.

Pay attention to how you will embed and sustain the improvements you have made and you can use the embedding and sustaining change tool (coming soon) to shape your thinking in doing so.


We have a package of resources to support implementation of this PERIPrem bundle element. Please watch the video and download the resources to find out more.


Delayed Cord Clamping resources

Please tell us a bit about yourself to download our PERIPrem resources

PERIPrem resources form
PERIPrem resources form


Links for more information

If you would like to understand more about the evidence behind this PERIPrem bundle element, the following papers, reviews and websites have more information.

NNAP (RCPCH) 2020 Audit standards, set by NNAP Project Board.

BAPM: Perinatal Management of Extreme Preterm Birth Before 27 Weeks of Gestation (2019).

Rabe  H, Gyte  GML, Díaz‐Rossello  JL, Duley  L. Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes. Cochrane Database of Systematic Reviews 2019, Issue 9. Art. No.: CD003248. DOI: 10.1002/14651858.CD003248.pub4.

PERIPrem Share and Learn: Delayed Cord Clamping Slide Deck

Randomised trial of cord clamping at very preterm birth: outcomes at 2 years