Perinatology.  2022 Mar;33(1):1-8. 10.14734/PN.2022.33.1.1.

Review of Intact Cord Resuscitation

Affiliations
  • 1Department of Pediatrics, Inje University Sanggye Paik Hospital, Seoul, Korea

Abstract

Over the past decade, it has been widely recognized that placental transfusions have many benefits for newborns. This procedure has become a recognized standard for neonatal care at this point, as many benefits can be given to newborns, including reduced mortality and morbidities in preterm infants and improved neurodevelopmental outcomes in term infants. The International Liaison Committee on Resuscitation and other organizations currently recommend placental transfusions, such as delayed cord clamping 30 to 60 seconds, for newborns who do not require resuscitation at birth. However, the current guidelines in non-vigorous newborns who require resuscitation at birth, potentially assisted by placental transfusions, is to immediately clamp the umbilical cord. Therefore, this review aims to investigate previously published, ongoing or planned clinical trials regarding resuscitation with an intact cord in term and preterm infants who need respiratory support and to investigate weather resuscitation with an intact cord could be safely applied to these infants.

Keyword

Umbilical cord clamping; Resuscitation; Preterm infants; Newborns
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