Abstract
Optimizing Cord Clamping in Preterm Infants: One Strategy Does Not Fit All.
Highlights
Specialty section: This article was submitted to Neonatology, a section of the journal Frontiers in Pediatrics
Delaying clamping of the umbilical cord for at least 30 s after preterm birth is currently recommended by the International Liaison Committee on Resuscitation (ILCOR) and is incorporated into many guidelines [1]
A recent meta-analysis of randomized trials showed a significant reduction in neonatal mortality in preterm infants when delayed cord clamping (DCC) of > 30 s was undertaken with a number needed to benefit 33 [2]
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Summary
Randomized Trials Where DCC Was an Intended Intervention
In the APTS, of 784 infants
Observational and Implementation Studies Where DCC Was an Intended Intervention
DIRECTIONS OF CURRENT RESEARCH
Cord pilot trial
PROVISION OF RESPIRATORY SUPPORT BEFORE CORD CLAMPING IN PRETERM INFANTS
CORD MILKING AS AN ALTERNATIVE TO DCC IN PRETERM INFANTS
CORD MILKING AFTER CLAMPING IN PRETERM INFANTS
Findings
CURRENT STATE IN PRETERM INFANTS
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