Making the Argument for Intact Cord Resuscitation : A Case Report and Discussion
Mercer, Judith ; Erickson-Owens, Debra ; Rabe, Heike ; Jefferson, Karen and Andersson, Ola LU
(2022)
In Children
9(4).
- Abstract
We use a case of intact cord resuscitation to argue for the beneficial effects of an enhanced blood volume from placental transfusion for newborns needing resuscitation. We propose that intact cord resuscitation supports the process of physiologic neonatal transition, especially for many of those newborns appearing moribund. Transfer of the residual blood in the placenta provides the neonate with valuable access to otherwise lost blood volume while changing from placental respiration to breathing air. Our hypothesis is that the enhanced blood flow from placental transfusion initiates mechanical and chemical forces that directly, and indirectly through the vagus nerve, cause vasodilatation in the lung. Pulmonary vascular resistance is... (More)
We use a case of intact cord resuscitation to argue for the beneficial effects of an enhanced blood volume from placental transfusion for newborns needing resuscitation. We propose that intact cord resuscitation supports the process of physiologic neonatal transition, especially for many of those newborns appearing moribund. Transfer of the residual blood in the placenta provides the neonate with valuable access to otherwise lost blood volume while changing from placental respiration to breathing air. Our hypothesis is that the enhanced blood flow from placental transfusion initiates mechanical and chemical forces that directly, and indirectly through the vagus nerve, cause vasodilatation in the lung. Pulmonary vascular resistance is thereby reduced and facilitates the important increased entry of blood into the alveolar capillaries before breathing commences. In the presented case, enhanced perfusion to the brain by way of an intact cord likely led to regained consciousness, initiation of breathing, and return of tone and reflexes minutes after birth. Paramount to our hypothesis is the importance of keeping the umbilical cord circulation intact during the first several minutes of life to accommodate physiologic neonatal transition for all newborns and especially for those most compromised infants.
(Less)
- author
- Mercer, Judith
; Erickson-Owens, Debra
; Rabe, Heike
; Jefferson, Karen
and Andersson, Ola
LU
- organization
- publishing date
- 2022-04-06
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Children
- volume
- 9
- issue
- 4
- publisher
- MDPI AG
- external identifiers
-
- pmid:35455560
- scopus:85128755490
- ISSN
- 2227-9067
- DOI
- 10.3390/children9040517
- language
- English
- LU publication?
- yes
- id
- efbd36f7-cbae-4662-9348-d249befcf2de
- date added to LUP
- 2022-05-09 12:38:53
- date last changed
- 2024-06-13 12:43:48
@article{efbd36f7-cbae-4662-9348-d249befcf2de,
abstract = {{<p>We use a case of intact cord resuscitation to argue for the beneficial effects of an enhanced blood volume from placental transfusion for newborns needing resuscitation. We propose that intact cord resuscitation supports the process of physiologic neonatal transition, especially for many of those newborns appearing moribund. Transfer of the residual blood in the placenta provides the neonate with valuable access to otherwise lost blood volume while changing from placental respiration to breathing air. Our hypothesis is that the enhanced blood flow from placental transfusion initiates mechanical and chemical forces that directly, and indirectly through the vagus nerve, cause vasodilatation in the lung. Pulmonary vascular resistance is thereby reduced and facilitates the important increased entry of blood into the alveolar capillaries before breathing commences. In the presented case, enhanced perfusion to the brain by way of an intact cord likely led to regained consciousness, initiation of breathing, and return of tone and reflexes minutes after birth. Paramount to our hypothesis is the importance of keeping the umbilical cord circulation intact during the first several minutes of life to accommodate physiologic neonatal transition for all newborns and especially for those most compromised infants.</p>}},
author = {{Mercer, Judith and Erickson-Owens, Debra and Rabe, Heike and Jefferson, Karen and Andersson, Ola}},
issn = {{2227-9067}},
language = {{eng}},
month = {{04}},
number = {{4}},
publisher = {{MDPI AG}},
series = {{Children}},
title = {{Making the Argument for Intact Cord Resuscitation : A Case Report and Discussion}},
url = {{http://dx.doi.org/10.3390/children9040517}},
doi = {{10.3390/children9040517}},
volume = {{9}},
year = {{2022}},
}