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Optimizing transition: Providing oxygen during intact cord resuscitation
Hannah Edwards1, Rebecca A Dorner1, Anup C Katheria1
1Neonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, CA, United States.
Seminars in Perinatology
|June 28, 2023
Summary
Delayed umbilical cord clamping benefits all newborns. For preterm infants, combining ventilation and oxygen during intact cord resuscitation may offer additional advantages, warranting further research.
Area of Science:
- Neonatal Resuscitation
- Perinatal Medicine
- Pediatric Critical Care
Background:
- Delayed umbilical cord clamping is standard for newborns.
- Preterm infants may require specialized delivery room management.
- Intact cord resuscitation is an emerging technique.
Approach:
- This review synthesizes current evidence on delivery room management for preterm infants.
- It examines the combined use of ventilation and oxygen during intact cord resuscitation.
- The review emphasizes the need for high-quality research.
Key Points:
- Delayed clamping and cutting of the umbilical cord is standard practice.
- Ventilation and oxygen during intact cord resuscitation may benefit preterm neonates.
- Further randomized controlled trials are needed to confirm efficacy.
Conclusions:
- The combination of ventilation and oxygen during intact cord resuscitation shows promise for preterm infants.
- Rigorous studies are essential to establish optimal delivery room protocols.
- Evidence-based practices in neonatal care are continuously evolving.
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