Importance of placental transfusion on postnatal cardiopulmonary adaptation and neonatal outcome
Authors:
P. Korček 1,2; Z. Straňák 1,2
Authors‘ workplace:
Ústav pro péči o matku a dítě, Praha
1; 3. lékařská fakulta Univerzity Karlovy, Praha
2
Published in:
Čes-slov Neonat 2022; 28 (1): 50-54.
Category:
Reviews
Overview
Delayed (deferred) cord clamping represents the most physiologic method of placental transfusion. In case of adequate lung inflation (and uterine contractions) the increase in circulating blood volume facilitates postnatal cardiopulmonary adaptation and improves systemic oxygenation. The changes lead to reduced mortality and risk of serious neonatal morbidities (intraventricular hemorrhage, hypotension requiring inotropic support, anemia of prematurity) with improved neurodevelopmental outcome in preterm infants. The authors present an overview of physiology and pathophysiology of placental transfusion, its methods and impact on neonatal morbidity and long-term outcome. Up-to-date international recommendations regarding the management of placental transfusion are also included.
Keywords:
Hemodynamics – neonatal morbidity and mortality – placental transfusion – delayed cord clamping – umbilical cord milking
Sources
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NeonatologyArticle was published in
Czech and Slovak Neonatology
2022 Issue 1
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