足月新生儿的脐带处理。
Cord Management of the Term Newborn.
机构信息
Department of Clinical Sciences, Lund, Pediatrics, Lund University, SE-221 85 Lund, Sweden; Department of Neonatology, Skåne University Hospital, Jan Waldenströms gata 47, Malmö SE-214 28, Sweden.
Neonatal Research Institute at Sharp Mary Birch Hospital for Women and Newborns, San Diego, CA, USA; University of Rhode Island, Kingston, RI, USA.
出版信息
Clin Perinatol. 2021 Aug;48(3):447-470. doi: 10.1016/j.clp.2021.05.002.
Keeping the umbilical cord intact after delivery facilitates transition from fetal to neonatal circulation and allows a placental transfusion of a considerable amount of blood. A delay of at least 3 minutes improves neurodevelopmental outcomes in term infants. Although regarded as common sense and practiced by many midwives, implementation of delayed cord clamping into practice has been unduly slow, partly because of beliefs regarding theoretic risks of jaundice and lack of understanding regarding the long-term benefits. This article provides arguments for delaying cord clamping for a minimum of 3 minutes.
分娩后保持脐带完整有助于胎儿到新生儿循环的过渡，并允许胎盘进行大量输血。至少延迟 3 分钟可改善足月婴儿的神经发育结局。尽管这被认为是常识，并且许多助产士都在实践，但延迟脐带夹闭的实施速度一直很慢，部分原因是人们对理论上黄疸风险的担忧，以及对长期益处的理解不足。本文提供了至少延迟 3 分钟夹闭脐带的论据。
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