South African midwives’ knowledge of the benefits of delayed umbilical cord clamping

Abstract

Background: Immediate umbilical cord clamping has been part of the active management of the third stage of labour for centuries. Despite the benefits of delayed cord clamping, immediate cord clamping remains the routine practice in many countries, including South Africa. The aim of this study was to determine South African midwives’ knowledge of the benefits of delayed umbilical cord clamping.

Methods: Employing a quantitative, descriptive, cross-sectional design, 150 midwives from three Midwifery Obstetric Units (MOUs) in a district in one South African province were sampled through a stratified sampling method to complete the survey with an adapted self-administered questionnaire.

Results: The majority of midwives lacked knowledge of the benefits of delayed umbilical cord clamping or were unsure of their knowledge.

Conclusion: There is documented evidence on the benefits of delayed umbilical cord clamping for both mother and newborn. Midwives who participated in the research lacked knowledge of these benefits. Identification of the knowledge deficits of midwives regarding the benefits of delayed umbilical cord clamping may inform future midwifery education pertaining to delayed umbilical cord clamping and its benefits and may improve the practice thereof.

Contribution: This is the first study in South Africa to report on midwives’ knowledge of the benefits of delayed umbilical cord clamping.