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A review of different resuscitation platforms during delayed cord clamping. | LitMetric

A review of different resuscitation platforms during delayed cord clamping.

J Perinatol

Foothills Medical Centre, Department of Pediatrics, University of Calgary, Calgary, AB, Canada.

Published: July 2021

AI Article Synopsis

  • Delaying umbilical cord clamping has shown significant benefits for both term and preterm infants, including lower mortality rates for preterm babies and better developmental outcomes at age 4 for term infants.
  • Non-breathing or non-vigorous infants are typically excluded from delayed clamping due to the urgency of resuscitation, but recent studies suggest that performing resuscitation with an intact cord may offer physiological advantages.
  • An international group of researchers is evaluating resuscitation devices designed for use with the umbilical cord intact, and this review will cover the benefits, limitations, and ongoing studies related to these devices.

Article Abstract

There is a large body of evidence demonstrating that delaying clamping of the umbilical cord provides benefits for term and preterm infants. These benefits include reductions in mortality in preterm infants and improved developmental scores at 4 years of age in term infants. However, non-breathing or non-vigorous infants at birth are excluded due to the perceived need for immediate resuscitation. Recent studies have demonstrated early physiological benefits in both human and animal models if resuscitation is performed with an intact cord, but this is still an active area of research. Given the large number of ongoing and planned trials, we have brought together an international group that have been intimately involved in the development or use of resuscitation equipment designed to be used while the cord is still intact. In this review, we will present the benefits and limitations of devices that have been developed or are in use. Published trials or ongoing studies using their respective devices will also be reviewed.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8042840PMC
http://dx.doi.org/10.1038/s41372-021-01052-3DOI Listing

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