Placental Transfusion and Cardiovascular Instability in the Preterm Infant
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F18%3A43916464" target="_blank" >RIV/00216208:11120/18:43916464 - isvavai.cz</a>
Alternative codes found
RIV/00023698:_____/18:N0000002
Result on the web
<a href="https://doi.org/10.3389/fped.2018.00039" target="_blank" >https://doi.org/10.3389/fped.2018.00039</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.3389/fped.2018.00039" target="_blank" >10.3389/fped.2018.00039</a>
Alternative languages
Result language
angličtina
Original language name
Placental Transfusion and Cardiovascular Instability in the Preterm Infant
Original language description
Postnatal adaptation in preterm newborn comprises complex physiological processes that involve significant changes in the circulatory and respiratory system. Increasing hemoglobin level and blood volume following placental transfusion may be of importance in enhancing arterial oxygen content, increasing cardiac output, and improving oxygen delivery. The European consensus on resuscitation of preterm infants recommends delayed cord clamping (DCC) for at least 60 s to promote placenta-fetal transfusion in uncompromised neonates. Recently, published meta-analyses suggest that DCC is associated with fewer infants requiring transfusions for anemia, a lower incidence of intraventricular hemorrhage, and lower risk for necrotizing enterocolitis. Umbilical cord milking (UCM) has the potential to avoid some disadvantages associated with DCC including the increased risk of hypothermia or delay in commencing manual ventilation. UCM represents an active form of blood transfer from placenta to neonate and may have some advantages over DCC. Moreover, both methods are associated with improvement in hemodynamic parameters and blood pressure within first hours after delivery compared to immediate cord clamping. Placental transfusion appears to be beneficial for the preterm uncompromised infant. Further studies are needed to evaluate simultaneous placental transfusion with resuscitation of deteriorating neonates. It would be of great interest for future research to investigate advantages of this approach further and to assess its impact on neonatal outcomes, particularly in extremely preterm infants.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30209 - Paediatrics
Result continuities
Project
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Continuities
R - Projekt Ramcoveho programu EK
Others
Publication year
2018
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Frontiers in Pediatrics
ISSN
2296-2360
e-ISSN
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Volume of the periodical
6
Issue of the periodical within the volume
February
Country of publishing house
CH - SWITZERLAND
Number of pages
7
Pages from-to
"Article 39"
UT code for WoS article
000426211900002
EID of the result in the Scopus database
2-s2.0-85044820049