Résumé
In the past five years, umbilical cord management in both term and preterm infants has come full circle, going from the vast majority of infants receiving immediate cord clamping to virtually all governing organizations promoting placental transfusion, mainly in the form of delayed cord clamping (DCC). Placental transfusion refers to the transfer of more blood components to the infant during the first few minutes after birth. The different strategies for ensuring placental transfusion to the baby include delayed (deferred) cord clamping, milking of the attached cord before clamping, and milking of the cut cord. In this review, we address the current evidence to date for providing placental transfusion in different circumstances and the methods for implementation. We also highlight the gaps in knowledge and areas for future research.
| Langue d'origine | English |
|---|---|
| Pages (de-à) | 321-326 |
| Nombre de pages | 6 |
| Journal | Seminars in Fetal and Neonatal Medicine |
| Volume | 23 |
| Numéro de publication | 5 |
| DOI | |
| Statut de publication | Published - oct. 2018 |
Note bibliographique
Funding Information:At present, placental transfusion should be considered at every delivery where neonatal resuscitation is not expected as it can have a marked impact on the outcomes of newborns. Immediate cord clamping should not be supported unless both DCC and UCM are contraindicated or not feasible (i.e. cord avulsion or non-reducible nuchal cords) or unless the infant requires resuscitation. Providers may consider UCM in situations where DCC cannot be performed, but it should be viewed with caution in the most immature infants until more data are available.
Publisher Copyright:
© 2018 Elsevier Ltd
ASJC Scopus Subject Areas
- Pediatrics, Perinatology, and Child Health
PubMed: MeSH publication types
- Journal Article
- Review