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A Feasibility Study of a Novel Delayed Cord Clamping Cart

Delaying umbilical cord clamping (DCC) for 1 min or longer following a neonate’s birth has now been recommended for preterm and term newborns by multiple professional organizations. DCC has been shown to decrease rates of iron deficiency anemia, intraventricular hemorrhage (IVH), necrotizing enteroc...

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Autores principales: Joshi, Neha S., Padua, Kimber, Sherman, Jules, Schwandt, Douglas, Sie, Lillian, Gupta, Arun, Halamek, Louis P., Lee, Henry C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8145370/
https://www.ncbi.nlm.nih.gov/pubmed/33946912
http://dx.doi.org/10.3390/children8050357
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author Joshi, Neha S.
Padua, Kimber
Sherman, Jules
Schwandt, Douglas
Sie, Lillian
Gupta, Arun
Halamek, Louis P.
Lee, Henry C.
author_facet Joshi, Neha S.
Padua, Kimber
Sherman, Jules
Schwandt, Douglas
Sie, Lillian
Gupta, Arun
Halamek, Louis P.
Lee, Henry C.
author_sort Joshi, Neha S.
collection PubMed
description Delaying umbilical cord clamping (DCC) for 1 min or longer following a neonate’s birth has now been recommended for preterm and term newborns by multiple professional organizations. DCC has been shown to decrease rates of iron deficiency anemia, intraventricular hemorrhage (IVH), necrotizing enterocolitis (NEC), and blood transfusion. Despite these benefits, clinicians typically cut the umbilical cord without delay in neonates requiring resuscitation and move them to a radiant warmer for further care; this effectively prevents these patients from receiving any benefits from DCC. This study evaluated the feasibility of a delayed cord clamping cart (DCCC) in low-risk neonates born via Cesarean section (CS). The DCCC is a small, sterile cart designed to facilitate neonatal resuscitation while the umbilical cord remains intact. The cart is cantilevered over the operating room (OR) table during a CS, allowing the patient to be placed onto it immediately after birth. For this study, a sample of 20 low-risk CS cases were chosen from the non-emergency Labor and Delivery surgical case list. The DCCC was utilized for 1 min of DCC in all neonates. The data collected included direct observation by research team members, recorded debriefings and surveys of clinicians as well as surveys of patients. Forty-four care team members participated in written surveys; of these, 16 (36%) were very satisfied, 12 (27%) satisfied, 13 (30%) neutral, and 3 (7%) were somewhat dissatisfied with use of the DCCC in the OR. Feedback was collected from all 20 patients, with 18 (90%) reporting that they felt safe with the device in use. This study provides support that utilizing a DCCC can facilitate DCC with an intact umbilical cord.
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spelling pubmed-81453702021-05-26 A Feasibility Study of a Novel Delayed Cord Clamping Cart Joshi, Neha S. Padua, Kimber Sherman, Jules Schwandt, Douglas Sie, Lillian Gupta, Arun Halamek, Louis P. Lee, Henry C. Children (Basel) Brief Report Delaying umbilical cord clamping (DCC) for 1 min or longer following a neonate’s birth has now been recommended for preterm and term newborns by multiple professional organizations. DCC has been shown to decrease rates of iron deficiency anemia, intraventricular hemorrhage (IVH), necrotizing enterocolitis (NEC), and blood transfusion. Despite these benefits, clinicians typically cut the umbilical cord without delay in neonates requiring resuscitation and move them to a radiant warmer for further care; this effectively prevents these patients from receiving any benefits from DCC. This study evaluated the feasibility of a delayed cord clamping cart (DCCC) in low-risk neonates born via Cesarean section (CS). The DCCC is a small, sterile cart designed to facilitate neonatal resuscitation while the umbilical cord remains intact. The cart is cantilevered over the operating room (OR) table during a CS, allowing the patient to be placed onto it immediately after birth. For this study, a sample of 20 low-risk CS cases were chosen from the non-emergency Labor and Delivery surgical case list. The DCCC was utilized for 1 min of DCC in all neonates. The data collected included direct observation by research team members, recorded debriefings and surveys of clinicians as well as surveys of patients. Forty-four care team members participated in written surveys; of these, 16 (36%) were very satisfied, 12 (27%) satisfied, 13 (30%) neutral, and 3 (7%) were somewhat dissatisfied with use of the DCCC in the OR. Feedback was collected from all 20 patients, with 18 (90%) reporting that they felt safe with the device in use. This study provides support that utilizing a DCCC can facilitate DCC with an intact umbilical cord. MDPI 2021-04-29 /pmc/articles/PMC8145370/ /pubmed/33946912 http://dx.doi.org/10.3390/children8050357 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Joshi, Neha S.
Padua, Kimber
Sherman, Jules
Schwandt, Douglas
Sie, Lillian
Gupta, Arun
Halamek, Louis P.
Lee, Henry C.
A Feasibility Study of a Novel Delayed Cord Clamping Cart
title A Feasibility Study of a Novel Delayed Cord Clamping Cart
title_full A Feasibility Study of a Novel Delayed Cord Clamping Cart
title_fullStr A Feasibility Study of a Novel Delayed Cord Clamping Cart
title_full_unstemmed A Feasibility Study of a Novel Delayed Cord Clamping Cart
title_short A Feasibility Study of a Novel Delayed Cord Clamping Cart
title_sort feasibility study of a novel delayed cord clamping cart
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8145370/
https://www.ncbi.nlm.nih.gov/pubmed/33946912
http://dx.doi.org/10.3390/children8050357
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