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Meta
Tag Archives: Delayed Cord Clamping
Cord milking and resuscitation, an alternative?
My recent posts about resuscitation with an intact cord were rapidly followed by a publication of another multicentre randomized controlled trial, this time a cluster randomized crossover trial, of cord milking in babies who needed intervention. (Katheria AC, et al. … Continue reading
Resuscitation before clamping the cord, some physiologic considerations
Delaying cord clamping until respiration is well established is a physiologically pleasing approach, and avoids the dramatic decrease in left ventricular preload, simultaneously with an increase in afterload that occurs with early clamping. But does delaying clamping during positive pressure … Continue reading
Resuscitation before clamping the cord?
Delayed cord clamping is now standard of care for all deliveries, at term or preterm. In term deliveries it leads to improved iron stores in the baby which difference persists during the first year of life. In very preterm infants … Continue reading
Posted in Neonatal Research
Tagged Delayed Cord Clamping, Randomized Controlled Trials, Resuscitation
4 Comments
Delayed cord clamping in the very preterm
I haven’t written about this issue in a while, the APTS trial, and the systematic review which was published at about the same time appeared to show definitively that there was a reduction in mortality with delayed clamping compared to … Continue reading
The last word on delayed cord clamping in the preterm? part 3.
Lo and behold. Fogarty M, et al. Delayed Versus Early Umbilical Cord Clamping for Preterm Infants: A Systematic Review and Meta-Analysis. Am J Obstet Gynecol. 2017. Some of the authors of the APTS trial have performed an updated systematic review, … Continue reading
Posted in Neonatal Research
Tagged Delayed Cord Clamping, mortality, Systematic Reviews, transfusion
6 Comments
Cord milking/delayed clamping at the 2015 PAS-meeting
I have tried to go through the abstracts from PAS to find those that had new information, from controlled trials, about the efficacy and safety of cord milking and/or delayed clamping. Mercer and the group from Rhode Island presented the … Continue reading
Delayed cord clamping or cord milking for the very preterm newborn… or both?
What should we be doing, given the current state of the evidence, for the very preterm neonate? I think the evidence is now pretty clear that full-term babies have benefits, and no significant harm, from delayed cord clamping, which has … Continue reading
Neonatal Research 