{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T10:03:15Z","timestamp":1773655395385,"version":"3.50.1"},"reference-count":28,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diseases"],"abstract":"<jats:p>Background\/Objectives: Delayed umbilical cord clamping (DCC) is widely recommended for neonatal benefit; however, concerns persist among professionals that DCC may increase the risk of postpartum hemorrhage. There is a higher risk of postpartum hemorrhage in women with hypertensive disorders of pregnancy (HDP). We aimed to evaluate the association between umbilical cord clamping timing and maternal blood loss in term pregnancies, including those complicated by HDP. Methods: We conducted a cross-sectional study of women delivering at three major hospitals in Almaty, Kazakhstan (August 2020\u2013March 2021). The primary outcome was maternal blood loss. Secondary outcomes included hemoglobin (Hb) and red blood cell (RBC) change from pre-delivery to discharge. Multivariable models were adjusted for maternal age, parity and hypertension category. Results: Two hundred and seven women were analyzed (early cord clamping \u2264 60 (ECC) n = 21; delayed cord clamping 60\u2013119 s (DCC60s) n = 161; delayed cord clamping \u2265 120 s (DCC120s) n = 25). Baseline characteristics were similar across groups except for hypertension distribution. Median blood loss did not differ significantly (255\u2013260 mL; p = 0.9128). Adjusted models confirmed no association between clamping category and blood loss (RoM: ECC vs. DCC60s 0.97; 95% CI 0.93\u20131.01; DCC120s vs. DCC60s 1.01; 95% CI 0.96\u20131.07). Conclusions: Among term births in Almaty, including HDP-affected pregnancies, delayed umbilical cord clamping was not associated with increased maternal blood loss or hematologic decline. These findings indicate that DCC does not appear to increase maternal bleeding risk in high-risk obstetric populations and are broadly in line with current international recommendations. Further prospective research is warranted to evaluate specific subgroups, including severe preeclampsia.<\/jats:p>","DOI":"10.3390\/diseases14030107","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T17:36:48Z","timestamp":1773423408000},"page":"107","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Maternal Outcomes Associated with Delayed Cord Clamping in Hypertensive Disorders of Pregnancy: A Cross-Sectional Study"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1283-1990","authenticated-orcid":false,"given":"Aigerim","family":"Turekulova","sequence":"first","affiliation":[{"name":"School of General Medicine, Asfendiyarov Kazakh National Medical University, Almaty 050012, Kazakhstan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3678-5466","authenticated-orcid":false,"given":"Nurzhamal","family":"Dzhardemaliyeva","sequence":"additional","affiliation":[{"name":"International Faculty, Asfendiyarov Kazakh National Medical University, Almaty 050012, Kazakhstan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2047-8875","authenticated-orcid":false,"given":"Heike","family":"Rabe","sequence":"additional","affiliation":[{"name":"Academic Department of Paediatrics, Brighton and Sussex Medical School, University of Brighton and University of Sussex, Brighton BN1 9PX, UK"},{"name":"Department of Neonatology, University Hospitals Sussex, Brighton BN2 5BE, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4399-700X","authenticated-orcid":false,"given":"Mukhtar","family":"Kulimbet","sequence":"additional","affiliation":[{"name":"Department of Research Management, Research Institute of Cardiology and Internal Diseases, Almaty 050000, Kazakhstan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1111\/aogs.14523","article-title":"Pregnancy complications and later life women\u2019s health","volume":"102","author":"McNestry","year":"2023","journal-title":"Acta Obstet. 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