[Focus on placental transfusion for preterm neonates: Delayed cord clamping and/or milking?].
Résumé
Anemia of prematurity remains a common complication despite recent advances in perinatal and neonatal medicine. The delayed cord clamping (at least 30seconds as recommended) has several benefits: increased hemoglobin and hematocrit levels at birth, improved initial hemodynamic, decreased incidence of transfusions and intraventricular hemorrhages. When the birth transition is difficult, wait 30seconds before clamping can be impossible. So as not to interfere with the neonatal resuscitation, the "milking" has been proposed as an alternative method to the delayed cord clamping. This is a safe and easy method, which can be done either by an obstetrician or pediatrician with comparable results for the child on his hemodynamic, hematological and neurological status. It still lacks technical information on this method and neurodevelopmental outcomes of these preterm infants.
Mots clés
*Fetal Blood
*Infant
Premature/physiology
*Umbilical Cord
Anemia/physiopathology/*therapy
Blood Transfusion
Clampage immédiat
Clampage retardé
Constriction
Delayed cord clamping
Delivery
Obstetric/methods
Female
Gestational Age
Hematocrit
Hemoglobins/analysis
Humans
Immediate cord clamping
Infant
Newborn
Premature
Diseases/physiopathology/*therapy
Placenta/blood supply
Pregnancy
Prématuré
Preterm infant
Randomized Controlled Trials as Topic
Time Factors
Traite du cordon
Umbilical cord milking