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Management of a nuchal cord can vary from clamping the cord immediately after the birth of the head and before the shoulders to not clamping at all, depending on the provider's learned practices. Evidence for specific management techniques is lacking. Cutting the umbilical cord before birth is an intervention that has been associated with hypovolemia, anemia, shock, hypoxic\u2010ischemic encephalopathy, and cerebral palsy. This article proposes use of the somersault maneuver followed by delayed cord clamping for management of nuchal cord at birth and presents a new rationale based on the available current evidence.<\/jats:p>","DOI":"10.1016\/j.jmwh.2005.04.023","type":"journal-article","created":{"date-parts":[[2005,9,9]],"date-time":"2005-09-09T16:15:06Z","timestamp":1126282506000},"page":"373-379","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Nuchal Cord Management and Nurse\u2010Midwifery Practice"],"prefix":"10.1111","volume":"50","author":[{"given":"Judith S.","family":"Mercer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca 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