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Clinical aspects of incorporating cord clamping into stabilisation of preterm infants

Fetal to neonatal transition is characterised by major pulmonary and haemodynamic changes occurring in a short period of time. In the international neonatal resuscitation guidelines, comprehensive recommendations are available on supporting pulmonary transition and delaying clamping of the cord in p...

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Autores principales: Knol, Ronny, Brouwer, Emma, Vernooij, Alex S N, Klumper, Frans J C M, DeKoninck, Philip, Hooper, Stuart B, te Pas, Arjan B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109247/
https://www.ncbi.nlm.nih.gov/pubmed/29680790
http://dx.doi.org/10.1136/archdischild-2018-314947
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author Knol, Ronny
Brouwer, Emma
Vernooij, Alex S N
Klumper, Frans J C M
DeKoninck, Philip
Hooper, Stuart B
te Pas, Arjan B
author_facet Knol, Ronny
Brouwer, Emma
Vernooij, Alex S N
Klumper, Frans J C M
DeKoninck, Philip
Hooper, Stuart B
te Pas, Arjan B
author_sort Knol, Ronny
collection PubMed
description Fetal to neonatal transition is characterised by major pulmonary and haemodynamic changes occurring in a short period of time. In the international neonatal resuscitation guidelines, comprehensive recommendations are available on supporting pulmonary transition and delaying clamping of the cord in preterm infants. Recent experimental studies demonstrated that the pulmonary and haemodynamic transition are intimately linked, could influence each other and that the timing of umbilical cord clamping should be incorporated into the respiratory stabilisation. We reviewed the current knowledge on how to incorporate cord clamping into stabilisation of preterm infants and the physiological-based cord clamping (PBCC) approach, with the infant’s transitional status as key determinant of timing of cord clamping. This approach could result in optimal timing of cord clamping and has the potential to reduce major morbidities and mortality in preterm infants.
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spelling pubmed-61092472018-08-27 Clinical aspects of incorporating cord clamping into stabilisation of preterm infants Knol, Ronny Brouwer, Emma Vernooij, Alex S N Klumper, Frans J C M DeKoninck, Philip Hooper, Stuart B te Pas, Arjan B Arch Dis Child Fetal Neonatal Ed Review Fetal to neonatal transition is characterised by major pulmonary and haemodynamic changes occurring in a short period of time. In the international neonatal resuscitation guidelines, comprehensive recommendations are available on supporting pulmonary transition and delaying clamping of the cord in preterm infants. Recent experimental studies demonstrated that the pulmonary and haemodynamic transition are intimately linked, could influence each other and that the timing of umbilical cord clamping should be incorporated into the respiratory stabilisation. We reviewed the current knowledge on how to incorporate cord clamping into stabilisation of preterm infants and the physiological-based cord clamping (PBCC) approach, with the infant’s transitional status as key determinant of timing of cord clamping. This approach could result in optimal timing of cord clamping and has the potential to reduce major morbidities and mortality in preterm infants. BMJ Publishing Group 2018-09 2017-04-21 /pmc/articles/PMC6109247/ /pubmed/29680790 http://dx.doi.org/10.1136/archdischild-2018-314947 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Review
Knol, Ronny
Brouwer, Emma
Vernooij, Alex S N
Klumper, Frans J C M
DeKoninck, Philip
Hooper, Stuart B
te Pas, Arjan B
Clinical aspects of incorporating cord clamping into stabilisation of preterm infants
title Clinical aspects of incorporating cord clamping into stabilisation of preterm infants
title_full Clinical aspects of incorporating cord clamping into stabilisation of preterm infants
title_fullStr Clinical aspects of incorporating cord clamping into stabilisation of preterm infants
title_full_unstemmed Clinical aspects of incorporating cord clamping into stabilisation of preterm infants
title_short Clinical aspects of incorporating cord clamping into stabilisation of preterm infants
title_sort clinical aspects of incorporating cord clamping into stabilisation of preterm infants
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109247/
https://www.ncbi.nlm.nih.gov/pubmed/29680790
http://dx.doi.org/10.1136/archdischild-2018-314947
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