Australian maternity healthcare professionals' knowledge, attitudes and practices relevant to cord blood banking, donation and clamp timing: A cross-sectional survey.

Attitudes Cord blood banking Cord clamping Donation Knowledge Maternity professionals Midwives Obstetricians Practices

Journal

Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131

Informations de publication

Date de publication:
Nov 2021
Historique:
received: 18 09 2020
revised: 31 10 2020
accepted: 20 11 2020
pubmed: 15 12 2020
medline: 24 11 2021
entrez: 14 12 2020
Statut: ppublish

Résumé

Australian health professionals' knowledge and attitudes towards third stage labour options of cord clamp timing, cord blood banking and donation and their practice of informing parents of these options is unknown. Parents have several options for the management of their infant' cord blood during the third stage of labour. Early or deferred cord clamping practices may affect parent choices about physiological transfusion to the neonate and/or cord blood collection for private or public banking or donation. To identify health professionals' knowledge and attitudes towards third stage labour options of cord clamp timing, cord blood banking and donation and their practice of informing parents of these options. A total of 129 Australian maternity healthcare professionals responded to the self-administered survey between December 2017 and June 2018. Occupational differences were revealed in regard to cord clamp timing, cord blood banking and donation knowledge, attitudes and practices. Midwives were more likely to discuss cord clamp timing with parents and to clamp the cord later than obstetricians. Obstetricians were more knowledgeable of cord blood banking and donation options than midwives. Cord blood banking and donation options were discussed by both groups if parents asked. Identification of gaps in knowledge should guide future maternity health professional education that is inclusive of all third stage labour options to ensure that open discussion and informing parents of options is consistent, contemporary and evidence-based. To make informed decisions, parents need evidence-based information on all third stage labour options.

Sections du résumé

PROBLEM OBJECTIVE
Australian health professionals' knowledge and attitudes towards third stage labour options of cord clamp timing, cord blood banking and donation and their practice of informing parents of these options is unknown.
BACKGROUND BACKGROUND
Parents have several options for the management of their infant' cord blood during the third stage of labour. Early or deferred cord clamping practices may affect parent choices about physiological transfusion to the neonate and/or cord blood collection for private or public banking or donation.
AIM OBJECTIVE
To identify health professionals' knowledge and attitudes towards third stage labour options of cord clamp timing, cord blood banking and donation and their practice of informing parents of these options.
METHODS METHODS
A total of 129 Australian maternity healthcare professionals responded to the self-administered survey between December 2017 and June 2018.
FINDINGS RESULTS
Occupational differences were revealed in regard to cord clamp timing, cord blood banking and donation knowledge, attitudes and practices. Midwives were more likely to discuss cord clamp timing with parents and to clamp the cord later than obstetricians. Obstetricians were more knowledgeable of cord blood banking and donation options than midwives. Cord blood banking and donation options were discussed by both groups if parents asked.
DISCUSSION CONCLUSIONS
Identification of gaps in knowledge should guide future maternity health professional education that is inclusive of all third stage labour options to ensure that open discussion and informing parents of options is consistent, contemporary and evidence-based.
CONCLUSION CONCLUSIONS
To make informed decisions, parents need evidence-based information on all third stage labour options.

Identifiants

pubmed: 33309477
pii: S1871-5192(20)30378-4
doi: 10.1016/j.wombi.2020.11.005
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e584-e591

Informations de copyright

Copyright © 2020 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Auteurs

Lisa Peberdy (L)

The University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, Queensland, 4556, Australia. Electronic address: Lisa.Peberdy@research.usc.edu.au.

Jeanine Young (J)

The University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, Queensland, 4556, Australia. Electronic address: jyoung4@usc.edu.au.

Debbie Massey (D)

Southern Cross University, Gold Coast Airport, Terminal Dr, Bilinga, Queensland, 4225, Australia. Electronic address: deb.massey@scu.edu.au.

Lauren Kearney (L)

The University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, Queensland, 4556, Australia. Electronic address: lkearney@usc.edu.au.

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