Dr. Chapa’s Clinical Pearls.

NEW DATA (CPU) on DCC in Preterm Births!


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Delayed (AKA deferred) Cord Clamping (DCC) is extremely beneficial for both the preterm and term neonate. In September 2025, a new Clinical Practice Update (CPU) will be released by the ACOG regarding the amount of time DCC should be done for preterm newborns. This updates data from a Clinical Expert Series which was released in 2022, called “Management of Placental Transfusion to the Neonate”. Is the recommended amount of DCC 30 sec, 45 sec, or at least 60 seconds for preterm newborns? We will highlight this data in this episode. PLUS, we will very quickly summarize a separate yet related publication from JAMA Pediatrics regarding the use of supplemental O2 (100% PP face mask) during DCC for babies born at 22- 28 weeks. Listen in for details.


1. ACOG CPU, Sept 2025: “An Update to Clinical Guidance for Delayed Umbilical

Cord Clamping After Birth in Preterm Neonates”

2. ACOG Clinical Expert Series, Management of Placental Transfusion to the Neonate”; 2022.

3. JAMA PEDIATRICS (July 21, 2025): https://jamanetwork.com/journals/jamapediatrics/article-abstract/2836681


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