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Cord clamping - 'hold on a minute' is not enough, and sample your blood gases while waiting

Andersson, Ola LU orcid and Zaigham, Mehreen LU orcid (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.

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author
and
organization
publishing date
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}},
}