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延迟脐带夹闭:对胎儿脐带血气分析的影响。

Delayed cord clamping: Impact on fetal cord blood gas analysis.

机构信息

Obstetrics and Gynaecology, Mater Mothers' Hospital, Brisbane, Queensland, Australia.

Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.

出版信息

Aust N Z J Obstet Gynaecol. 2022 Apr;62(2):328-331. doi: 10.1111/ajo.13488. Epub 2022 Feb 7.

DOI:10.1111/ajo.13488
PMID:35129206
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9304228/
Abstract

Both delayed cord clamping (DCC) and cord blood gas (CBG) analysis are recommended practices for preterm births. However, the compliance rates remain lower than expected, with a DCC rate of only 48.9% and CBG sampling of 66.6% in the preterm cohort. DCC was associated with a significant reduction in success rate of paired CBG analysis in both the term and preterm cohort of 8.3% and 7.7% respectively. Our study highlights the difficulty in achieving both recommendations.

摘要

延迟脐带夹闭(DCC)和脐带血气(CBG)分析均为推荐的早产儿处理方法。然而,实际执行率仍低于预期,仅分别有 48.9%和 66.6%的早产儿进行了 DCC 和 CBG 采样。DCC 与配对 CBG 分析成功率显著相关,在足月和早产队列中分别降低了 8.3%和 7.7%。本研究强调了同时实现这两项建议的困难。

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1
Delayed cord clamping: Impact on fetal cord blood gas analysis.延迟脐带夹闭:对胎儿脐带血气分析的影响。
Aust N Z J Obstet Gynaecol. 2022 Apr;62(2):328-331. doi: 10.1111/ajo.13488. Epub 2022 Feb 7.
2
Delayed cord clamping does not affect umbilical cord blood gas analysis.延迟脐带夹闭不会影响脐血血气分析。
Arch Gynecol Obstet. 2019 Mar;299(3):719-724. doi: 10.1007/s00404-019-05048-5. Epub 2019 Jan 17.
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Midwifery. 2023 Apr;119:103635. doi: 10.1016/j.midw.2023.103635. Epub 2023 Feb 18.

本文引用的文献

1
Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes.早产时脐带夹闭时机及其他影响胎盘输血策略对母婴结局的影响。
Cochrane Database Syst Rev. 2019 Sep 17;9(9):CD003248. doi: 10.1002/14651858.CD003248.pub4.
2
Effects of delayed cord clamping on infants after neonatal period: A systematic review and meta-analysis.延迟脐带夹闭对新生儿期后婴儿的影响:系统评价和荟萃分析。
Int J Nurs Stud. 2019 Apr;92:97-108. doi: 10.1016/j.ijnurstu.2019.01.012. Epub 2019 Feb 8.
3
Delayed cord clamping does not affect umbilical cord blood gas analysis.延迟脐带夹闭不会影响脐血血气分析。
Arch Gynecol Obstet. 2019 Mar;299(3):719-724. doi: 10.1007/s00404-019-05048-5. Epub 2019 Jan 17.
4
Implementation and Outcomes of Universal Delayed Umbilical Cord Clamping at Term.足月时实施并观察普遍延迟脐带结扎的效果。
Am J Perinatol. 2019 Feb;36(3):233-242. doi: 10.1055/s-0038-1669908. Epub 2018 Sep 12.
5
Delayed Umbilical Cord Clamping at <32 Weeks' Gestation: Implementation and Outcomes.孕32周前延迟脐带结扎:实施情况与结果
Am J Perinatol. 2017 Sep;34(11):1048-1053. doi: 10.1055/s-0037-1603591. Epub 2017 May 25.
6
Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes.足月儿脐带结扎时机对母婴结局的影响。
Cochrane Database Syst Rev. 2013 Jul 11;2013(7):CD004074. doi: 10.1002/14651858.CD004074.pub3.
7
Effects of delayed compared with early umbilical cord clamping on maternal postpartum hemorrhage and cord blood gas sampling: a randomized trial.延迟与早期断脐对产妇产后出血及脐血血气分析影响的随机对照试验
Acta Obstet Gynecol Scand. 2013 May;92(5):567-74. doi: 10.1111/j.1600-0412.2012.01530.x. Epub 2012 Oct 17.
8
Effect of delayed umbilical cord clamping on blood gas analysis.延迟脐带夹闭对血气分析的影响。
Eur J Obstet Gynecol Reprod Biol. 2012 May;162(1):21-3. doi: 10.1016/j.ejogrb.2012.01.020. Epub 2012 Mar 8.
9
Umbilical cord blood acid-base and gas analysis after early versus delayed cord clamping in neonates at term.足月新生儿脐带结扎时机对脐血酸碱和血气分析的影响。
Arch Gynecol Obstet. 2011 May;283(5):1011-4. doi: 10.1007/s00404-010-1516-z. Epub 2010 May 25.