新生儿的“生命线”-脐带管理策略综述。

A newborn's "life line" - A review of umbilical cord management strategies.

机构信息

Sharp Mary Birch, Hospital for Women and Newborn, San Diego, California, U.S.A; Sharp Neonatal Research Institute, San Diego, California, U.S.A.

出版信息

Semin Perinatol. 2022 Oct;46(6):151621. doi: 10.1016/j.semperi.2022.151621. Epub 2022 May 21.

DOI:10.1016/j.semperi.2022.151621

PMID:35697528

Abstract

Literature supporting various umbilical management strategies have increased substantially over the past decade. Delayed cord clamping and umbilical cord milking are increasing embraced by obstetricians and neonatologists, and multiple international governing bodies now endorse these practices. This review summarizes the benefits and limitations of the different umbilical cord management strategies for term, near-term, and preterm neonates. Additional studies are underway to elucidate the safety profile of these practices, long term outcomes, and variations within these strategies that could potentially augment the benefits.

摘要

过去十年间，支持各种脐带管理策略的文献大量增加。延迟脐带夹闭和脐带挤奶越来越受到产科医生和新生儿科医生的欢迎，现在多个国际管理机构也认可这些做法。本综述总结了不同脐带管理策略对足月、近足月和早产儿的益处和局限性。正在进行更多的研究以阐明这些操作的安全性概况、长期结果以及这些策略中的差异，这些差异可能会增加其益处。