Attitudes and beliefs regarding umbilical cord clamping among midwives, obstetricians, and neonatologists in Sweden: A national cross-sectional survey
(2025) In PLoS ONE 20(10). p.1-13- Abstract
- Objective
The study aimed to explore attitudes and beliefs among midwives, obstetricians, and neonatologists regarding umbilical cord clamping practices, including scenarios involving neonatal compromise. The study was conducted in the context of exploring the potential for implementing intact cord resuscitation.
Study design
A national cross-sectional survey was administered electronically, using an adaptation of the previously used questionnaire developed by Jelin et al. The survey was conducted among midwives, nursing staff, obstetricians, and pediatricians/neonatologists from September 2022 to August 2023. Results were analyzed and reported using descriptive and inferential statistics.
Result
Of 838... (More) - Objective
The study aimed to explore attitudes and beliefs among midwives, obstetricians, and neonatologists regarding umbilical cord clamping practices, including scenarios involving neonatal compromise. The study was conducted in the context of exploring the potential for implementing intact cord resuscitation.
Study design
A national cross-sectional survey was administered electronically, using an adaptation of the previously used questionnaire developed by Jelin et al. The survey was conducted among midwives, nursing staff, obstetricians, and pediatricians/neonatologists from September 2022 to August 2023. Results were analyzed and reported using descriptive and inferential statistics.
Result
Of 838 respondents analyzed, 94% reported cord clamping timing being “very or moderately important” for neonatal outcomes, where midwives more frequently chose “very important” compared to physicians (p < 0.001). Midwives commonly preferred an event-based (e.g., cessation of pulsations) approach to cord clamping. In scenarios involving resuscitation, 27% of midwives and 10% of pediatric physicians, preferred an event-based approach to cord clamping, with a significant difference between groups (p = 0.005). Among obstetricians, 28.8% reported considering an event-based approach to cord clamping in elective cesarean sections. In resuscitation scenarios, obstetricians predominantly selected < 30 s as the preferred timing for cord clamping, whereas pediatric physicians were less likely to do so (p < 0.001).
Conclusion
Timing of cord clamping is considered important among respondents. The study reveals a generally positive attitude towards delayed cord clamping among health care professionals in Sweden, with notable variations between professional groups. The interprofessional differences highlight the need for shared guidelines and collaborative training to support the potential implementation of intact cord resuscitation. (Less) - Abstract (Swedish)
- Objective
The study aimed to explore attitudes and beliefs among midwives, obstetricians, and neonatologists regarding umbilical cord clamping practices, including scenarios involving neonatal compromise. The study was conducted in the context of exploring the potential for implementing intact cord resuscitation.
Study design
A national cross-sectional survey was administered electronically, using an adaptation of the previously used questionnaire developed by Jelin et al. The survey was conducted among midwives, nursing staff, obstetricians, and pediatricians/neonatologists from September 2022 to August 2023. Results were analyzed and reported using descriptive and inferential statistics.
Result
Of 838... (More) - Objective
The study aimed to explore attitudes and beliefs among midwives, obstetricians, and neonatologists regarding umbilical cord clamping practices, including scenarios involving neonatal compromise. The study was conducted in the context of exploring the potential for implementing intact cord resuscitation.
Study design
A national cross-sectional survey was administered electronically, using an adaptation of the previously used questionnaire developed by Jelin et al. The survey was conducted among midwives, nursing staff, obstetricians, and pediatricians/neonatologists from September 2022 to August 2023. Results were analyzed and reported using descriptive and inferential statistics.
Result
Of 838 respondents analyzed, 94% reported cord clamping timing being “very or moderately important” for neonatal outcomes, where midwives more frequently chose “very important” compared to physicians (p < 0.001). Midwives commonly preferred an event-based (e.g., cessation of pulsations) approach to cord clamping. In scenarios involving resuscitation, 27% of midwives and 10% of pediatric physicians, preferred an event-based approach to cord clamping, with a significant difference between groups (p = 0.005). Among obstetricians, 28.8% reported considering an event-based approach to cord clamping in elective cesarean sections. In resuscitation scenarios, obstetricians predominantly selected < 30 s as the preferred timing for cord clamping, whereas pediatric physicians were less likely to do so (p < 0.001).
Conclusion
Timing of cord clamping is considered important among respondents. The study reveals a generally positive attitude towards delayed cord clamping among health care professionals in Sweden, with notable variations between professional groups. The interprofessional differences highlight the need for shared guidelines and collaborative training to support the potential implementation of intact cord resuscitation. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/ca60a6cb-c562-4403-aab9-64c72b7312a0
- author
- Wilander, Maria
LU
; Ekelöf, Katarina LU ; Saether, Elisabeth ; Berglund, Denice ; Patriksson, Katarina ; Svedenkrans, Jenny LU ; Rabe, Heike ; Andersson, Ola LU
and Thies-Lagergren, Li LU
- organization
- alternative title
- Attityder och uppfattningar kring avnavling bland barnmorskor, obstetriker och neonatologer i Sverige.
- publishing date
- 2025-10-08
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- implementering
- in
- PLoS ONE
- volume
- 20
- issue
- 10
- pages
- 1 - 13
- publisher
- Public Library of Science (PLoS)
- external identifiers
-
- pmid:41060969
- ISSN
- 1932-6203
- DOI
- 10.1371/journal.pone.0332745
- language
- English
- LU publication?
- yes
- id
- ca60a6cb-c562-4403-aab9-64c72b7312a0
- date added to LUP
- 2025-10-14 16:30:57
- date last changed
- 2025-10-16 03:00:02
@article{ca60a6cb-c562-4403-aab9-64c72b7312a0, abstract = {{Objective<br/>The study aimed to explore attitudes and beliefs among midwives, obstetricians, and neonatologists regarding umbilical cord clamping practices, including scenarios involving neonatal compromise. The study was conducted in the context of exploring the potential for implementing intact cord resuscitation.<br/><br/>Study design<br/>A national cross-sectional survey was administered electronically, using an adaptation of the previously used questionnaire developed by Jelin et al. The survey was conducted among midwives, nursing staff, obstetricians, and pediatricians/neonatologists from September 2022 to August 2023. Results were analyzed and reported using descriptive and inferential statistics.<br/><br/>Result<br/>Of 838 respondents analyzed, 94% reported cord clamping timing being “very or moderately important” for neonatal outcomes, where midwives more frequently chose “very important” compared to physicians (p < 0.001). Midwives commonly preferred an event-based (e.g., cessation of pulsations) approach to cord clamping. In scenarios involving resuscitation, 27% of midwives and 10% of pediatric physicians, preferred an event-based approach to cord clamping, with a significant difference between groups (p = 0.005). Among obstetricians, 28.8% reported considering an event-based approach to cord clamping in elective cesarean sections. In resuscitation scenarios, obstetricians predominantly selected < 30 s as the preferred timing for cord clamping, whereas pediatric physicians were less likely to do so (p < 0.001).<br/><br/>Conclusion<br/>Timing of cord clamping is considered important among respondents. The study reveals a generally positive attitude towards delayed cord clamping among health care professionals in Sweden, with notable variations between professional groups. The interprofessional differences highlight the need for shared guidelines and collaborative training to support the potential implementation of intact cord resuscitation.}}, author = {{Wilander, Maria and Ekelöf, Katarina and Saether, Elisabeth and Berglund, Denice and Patriksson, Katarina and Svedenkrans, Jenny and Rabe, Heike and Andersson, Ola and Thies-Lagergren, Li}}, issn = {{1932-6203}}, keywords = {{implementering}}, language = {{eng}}, month = {{10}}, number = {{10}}, pages = {{1--13}}, publisher = {{Public Library of Science (PLoS)}}, series = {{PLoS ONE}}, title = {{Attitudes and beliefs regarding umbilical cord clamping among midwives, obstetricians, and neonatologists in Sweden: A national cross-sectional survey}}, url = {{http://dx.doi.org/10.1371/journal.pone.0332745}}, doi = {{10.1371/journal.pone.0332745}}, volume = {{20}}, year = {{2025}}, }