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Stabilisation and resuscitation with intact cord circulation is feasible using a wide variety of approaches; a scoping review

Alikhani, Vesta Seyed ; Thies-Lagergren, Li LU orcid ; Svedenkrans, Jenny LU ; Elfvin, Anders ; Bolk, Jenny and Andersson, Ola LU orcid (2023) In Acta Paediatrica, International Journal of Paediatrics 112(12). p.2468-2477
Abstract

Aim: This scoping review identified studies on approaches to intact cord resuscitation and/or stabilisation (ICR/S) for neonates delivered by Caesarean section (C-section). Methods: A systematic literature search was carried out using the PubMed, Web of Science, Scopus, Cochrane and CINAHL databases to identify papers published in English from inception to 14 November 2022. Results: We assessed 2613 studies and included 18 from 10 countries, covering 1–125 C-sections: the United States, the United Kingdom, Australia, India, Italy, China, France, The Netherlands, New Zealand and Taiwan. The papers were published from 2014 to 2023, and the majority were randomised controlled trials and observational studies. Different platforms, equipment... (More)

Aim: This scoping review identified studies on approaches to intact cord resuscitation and/or stabilisation (ICR/S) for neonates delivered by Caesarean section (C-section). Methods: A systematic literature search was carried out using the PubMed, Web of Science, Scopus, Cochrane and CINAHL databases to identify papers published in English from inception to 14 November 2022. Results: We assessed 2613 studies and included 18 from 10 countries, covering 1–125 C-sections: the United States, the United Kingdom, Australia, India, Italy, China, France, The Netherlands, New Zealand and Taiwan. The papers were published from 2014 to 2023, and the majority were randomised controlled trials and observational studies. Different platforms, equipment and staff positions in relation to the operating table were described. Options for resuscitation and stabilisation included different bedding and trolley approaches, and maintaining aseptic conditions was mainly addressed by the neonatal team scrubbing in. Hypothermia was prevented by using warm surfaces, polythene bags and radiant heaters. Equipment was kept easily accessible by mounting it on a trolley or a separate mobile pole. Conclusion: We could not reach definitive conclusions on the optimal method for performing ICR/S during a C-section, due to study variations. However, a number of equipment and management options appeared to be feasible approaches.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
caesarean section, cord clamping, neonatal resuscitation, neonatal stabilisation, preterm infants, scoping review
in
Acta Paediatrica, International Journal of Paediatrics
volume
112
issue
12
pages
2468 - 2477
publisher
Wiley-Blackwell
external identifiers
  • pmid:37767916
  • scopus:85173098324
ISSN
0803-5253
DOI
10.1111/apa.16985
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2023 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
id
3d13e78b-f19f-4b7e-bc4f-1585277f2f47
date added to LUP
2023-10-15 14:39:13
date last changed
2024-04-19 02:21:05
@article{3d13e78b-f19f-4b7e-bc4f-1585277f2f47,
  abstract     = {{<p>Aim: This scoping review identified studies on approaches to intact cord resuscitation and/or stabilisation (ICR/S) for neonates delivered by Caesarean section (C-section). Methods: A systematic literature search was carried out using the PubMed, Web of Science, Scopus, Cochrane and CINAHL databases to identify papers published in English from inception to 14 November 2022. Results: We assessed 2613 studies and included 18 from 10 countries, covering 1–125 C-sections: the United States, the United Kingdom, Australia, India, Italy, China, France, The Netherlands, New Zealand and Taiwan. The papers were published from 2014 to 2023, and the majority were randomised controlled trials and observational studies. Different platforms, equipment and staff positions in relation to the operating table were described. Options for resuscitation and stabilisation included different bedding and trolley approaches, and maintaining aseptic conditions was mainly addressed by the neonatal team scrubbing in. Hypothermia was prevented by using warm surfaces, polythene bags and radiant heaters. Equipment was kept easily accessible by mounting it on a trolley or a separate mobile pole. Conclusion: We could not reach definitive conclusions on the optimal method for performing ICR/S during a C-section, due to study variations. However, a number of equipment and management options appeared to be feasible approaches.</p>}},
  author       = {{Alikhani, Vesta Seyed and Thies-Lagergren, Li and Svedenkrans, Jenny and Elfvin, Anders and Bolk, Jenny and Andersson, Ola}},
  issn         = {{0803-5253}},
  keywords     = {{caesarean section; cord clamping; neonatal resuscitation; neonatal stabilisation; preterm infants; scoping review}},
  language     = {{eng}},
  number       = {{12}},
  pages        = {{2468--2477}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Paediatrica, International Journal of Paediatrics}},
  title        = {{Stabilisation and resuscitation with intact cord circulation is feasible using a wide variety of approaches; a scoping review}},
  url          = {{http://dx.doi.org/10.1111/apa.16985}},
  doi          = {{10.1111/apa.16985}},
  volume       = {{112}},
  year         = {{2023}},
}