Scheans Patricia
Legacy Health, Portland, Oregon, USA.
Neonatal Netw. 2013 Sep-Oct;32(5):369-73; quiz 374-7. doi: 10.1891/0730-0832.32.5.369.
Delayed cord clamping is a collaboration between the obstetric team and the neonatal team. Although the optimal timing for clamping the umbilical cord after birth continues to be subject to study, delaying clamping for at least 30-60 seconds, with the newborn held at or below the level of the uterus/placenta supports normal physiology and has proven benefits. Practical issues such as thermoregulation and equipment can be overcome with team collaboration and prebriefing planning. Neonatal nurses who attend deliveries are perfectly poised to influence this practice and improve short- and long-term outcomes for their patients.
延迟脐带结扎是产科团队和新生儿团队之间的合作。尽管出生后脐带结扎的最佳时机仍有待研究，但在新生儿保持在子宫/胎盘水平或以下的情况下，将结扎延迟至少30至60秒有助于维持正常生理功能，且已证实具有益处。通过团队协作和预先规划可以克服诸如体温调节和设备等实际问题。参与分娩的新生儿护士完全有能力影响这一做法，并改善其患者的短期和长期预后。
