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Related Experiment Video

Updated: Jul 15, 2026

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Published on: March 21, 2018

Evidence-based practices for the fetal to newborn transition.

Judith S Mercer¹, Debra A Erickson-Owens, Barbara Graves

¹Nurse-Midwifery Program, University of Rhode Island College of Nursing, Kingston, RI 02881-2021, USA. jmercer@uri.edu

Journal of Midwifery & Women'S Health

|May 1, 2007

Summary

Newborn care practices significantly impact the fetal to neonatal transition. Evidence suggests less intervention, like delayed cord clamping and skin-to-skin care, is often better for infant health.

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Published on: August 25, 2014

Area of Science:

Neonatal care
Perinatal medicine
Evidence-based practice

Background:

Common labor, birth, and postpartum care practices influence the crucial fetal to neonatal transition.
Many standard newborn assessment and management practices lack proven efficacy.
Existing research on maternal analgesia's neonatal effects is inconclusive.

Purpose of the Study:

To review current evidence on newborn care practices.
To evaluate the efficacy of interventions during the immediate postpartum period.
To inform recommendations for optimal neonatal transition and care.

Main Methods:

Systematic review of evidence on various newborn care interventions.
Analysis of randomized controlled trials and other studies.
Evaluation of practices including cord clamping, suctioning, thermoregulation, and resuscitation.

Main Results:

Delayed cord clamping shows potential to protect against infant anemia.
Skin-to-skin care is recommended for newborn thermoregulation.
Routine suctioning, amnioinfusion, and 100% oxygen resuscitation lack proven benefits and may increase risks like oxidative stress.

Conclusions:

Less intervention is frequently more beneficial for newborns.
Current evidence supports a gentle, physiologic approach to birth.
Family-centered care is recommended for newborns.