Physiological-Based Cord Clamping: When the Baby Is Ready for Clamping.

Cord clamping Newborn resuscitation Respiration

Journal

Neonatology
ISSN: 1661-7819
Titre abrégé: Neonatology
Pays: Switzerland
ID NLM: 101286577

Informations de publication

Date de publication:
28 Aug 2024
Historique:
received: 23 04 2024
accepted: 24 07 2024
medline: 31 8 2024
pubmed: 31 8 2024
entrez: 28 8 2024
Statut: aheadofprint

Résumé

The timing of cord clamping has become a focal point for neonatal caregivers due to the promising outcomes associated with delayed cord clamping, which is a simple and cost-effective method to enhance the survival and well-being of preterm infants. While initially the rationale behind delaying clamping was to facilitate increased placental transfusion, research has unveiled additional hemodynamic benefits. Experimental studies have demonstrated improved circulatory transition when clamping is postponed until the lungs are adequately aerated. This suggests that infants requiring assistance during the transition phase may benefit from stabilization while still attached to the cord. The Aeration, Breathing, and then Clamping (ABC) project aimed to translate these experimental findings into clinical practice. In this review, we will discuss the insights gained and lessons learned from the project's implementation.

Sections du résumé

BACKGROUND BACKGROUND
The timing of cord clamping has become a focal point for neonatal caregivers due to the promising outcomes associated with delayed cord clamping, which is a simple and cost-effective method to enhance the survival and well-being of preterm infants. While initially the rationale behind delaying clamping was to facilitate increased placental transfusion, research has unveiled additional hemodynamic benefits.
SUMMARY CONCLUSIONS
Experimental studies have demonstrated improved circulatory transition when clamping is postponed until the lungs are adequately aerated. This suggests that infants requiring assistance during the transition phase may benefit from stabilization while still attached to the cord. The Aeration, Breathing, and then Clamping (ABC) project aimed to translate these experimental findings into clinical practice.
KEY MESSAGE CONCLUSIONS
In this review, we will discuss the insights gained and lessons learned from the project's implementation.

Identifiants

pubmed: 39197438
pii: 000540667
doi: 10.1159/000540667
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-6

Informations de copyright

© 2024 The Author(s). Published by S. Karger AG, Basel.

Auteurs

Arjan B Te Pas (AB)

Division of Neonatology, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands.

Ronny Knol (R)

Division of Neonatology, Department of Neonatal and Pediatric Intensive Care, Sophia Children's Hospital, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Enrico Lopriore (E)

Division of Neonatology, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands.

Thomas H van den Akker (TH)

Department of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.

Stuart B Hooper (SB)

The Ritchie Centre, Hudson Institute of Medical Research, Clayton, Victoria, Australia.

Classifications MeSH