Cord clamping - 'hold on a minute' is not enough, and sample your blood gases while waiting
(2023) In Seminars in Perinatology 47(4).- Abstract
There is confusion regarding the dynamics of the umbilical cord circulation and the concomitant placental transfusion. How long does it continue, and at what rate? These questions remain an enigma for many. In this article we will address some common misconceptions about the management of cord circulation, try to explain why there is a lack of clarity, and call in to question the conclusions from an influential meta-analysis and a recently published guideline on cord clamping. We will do that partly by reviewing the rather extensive literature published on the subject over the past 50 to 70 years, which is easily forgotten, but worth considering. In this review, we will also address the important subject of why and how to sample cord... (More)
There is confusion regarding the dynamics of the umbilical cord circulation and the concomitant placental transfusion. How long does it continue, and at what rate? These questions remain an enigma for many. In this article we will address some common misconceptions about the management of cord circulation, try to explain why there is a lack of clarity, and call in to question the conclusions from an influential meta-analysis and a recently published guideline on cord clamping. We will do that partly by reviewing the rather extensive literature published on the subject over the past 50 to 70 years, which is easily forgotten, but worth considering. In this review, we will also address the important subject of why and how to sample cord blood correctly and to interpret umbilical gases with a sustained cord circulation, which is a crucial part of our ongoing multicenter study 'Sustained cord circulation And Ventilation', the SAVE-study.
(Less)
- author
- Andersson, Ola LU and Zaigham, Mehreen LU
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Seminars in Perinatology
- volume
- 47
- issue
- 4
- article number
- 151739
- publisher
- W.B. Saunders
- external identifiers
-
- scopus:85151257381
- pmid:37002124
- ISSN
- 0146-0005
- DOI
- 10.1016/j.semperi.2023.151739
- language
- English
- LU publication?
- yes
- additional info
- Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.
- id
- b135a6a7-bb14-4e66-8989-d650a5d8264f
- date added to LUP
- 2023-04-04 18:06:25
- date last changed
- 2024-04-19 20:38:26
@article{b135a6a7-bb14-4e66-8989-d650a5d8264f, abstract = {{<p>There is confusion regarding the dynamics of the umbilical cord circulation and the concomitant placental transfusion. How long does it continue, and at what rate? These questions remain an enigma for many. In this article we will address some common misconceptions about the management of cord circulation, try to explain why there is a lack of clarity, and call in to question the conclusions from an influential meta-analysis and a recently published guideline on cord clamping. We will do that partly by reviewing the rather extensive literature published on the subject over the past 50 to 70 years, which is easily forgotten, but worth considering. In this review, we will also address the important subject of why and how to sample cord blood correctly and to interpret umbilical gases with a sustained cord circulation, which is a crucial part of our ongoing multicenter study 'Sustained cord circulation And Ventilation', the SAVE-study.</p>}}, author = {{Andersson, Ola and Zaigham, Mehreen}}, issn = {{0146-0005}}, language = {{eng}}, number = {{4}}, publisher = {{W.B. Saunders}}, series = {{Seminars in Perinatology}}, title = {{Cord clamping - 'hold on a minute' is not enough, and sample your blood gases while waiting}}, url = {{http://dx.doi.org/10.1016/j.semperi.2023.151739}}, doi = {{10.1016/j.semperi.2023.151739}}, volume = {{47}}, year = {{2023}}, }