Sharp Mary Birch, Hospital for Women and Newborn, San Diego, CA.
Sharp Neonatal Research Institute, San Diego, CA.
Neoreviews. 2022 Jun 1;23(6):e388-e399. doi: 10.1542/neo.23-6-e388.
The body of literature supporting different umbilical management strategies has increased over the past decade as the role of cord management in neonatal transition is realized. Multiple international governing bodies endorse delayed cord clamping, and this practice is now widely accepted by obstetricians and neonatologists. Although term and preterm neonates benefit in some ways from delayed cord clamping, additional research on variations in this practice, including resuscitation with an intact cord, aim to find the optimal cord management practice that reduces mortality and major morbidities.
过去十年间,随着人们对脐带管理在新生儿过渡期作用的认识不断加深,支持不同脐带管理策略的文献数量不断增加。多个国际管理机构都认可延迟脐带夹闭,而且这种做法现在已被产科医生和新生儿科医生广泛接受。虽然在某些方面,延迟脐带夹闭对足月和早产儿都有益,但仍需要进一步研究这种做法的差异,包括在保留脐带的情况下进行复苏,以找到能够降低死亡率和主要并发症的最佳脐带管理实践。