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Newly born babies who do not breathe spontaneously after thorough drying should be stimulated by rubbing the back 2—3 times before clamping the cord and initiating positive-pressure ventilation. Year of the Nurse and the Midwife These professionals are concerned that, during placental separation, a partially detached placenta could be exposed to maternal blood and this could lead to a micro-transfusion of maternal blood to the baby. Guideline: Delayed umbilical cord clamping for improved maternal and infant health and nutrition outcomes. The terms are not necessarily synonymous milking refers to physically expressing blood from the umbilical cord. The WHO guideline development group considered that the package of active management of the third stage of labour includes a primary intervention: the use of a uterotonic drug. The WHO guideline development group considered this recommendation to be equally important for caesarean sections. Delayed umbilical cord clamping should not be confused with milking of the cord.

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