Childbirth practices, protocols, or "standards of care" |
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Home -------- Site Map Apgar Oxygen an urgent ongoing need Transition fetal to postnatal circulation Tradition >>Protocols Outcomes Concerns Question Authority References Links Notes Contact: Eileen Nicole Simon eileen4brainresearch@yahoo.com |
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Apgar scores of 8, 9, or 10 |
Published protocol |
WAIT A MINUTE |
Cochrane Review |
Comments on the Cochrane Review |
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Slow birth |
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Some moderation of the current protocol was published by Philip and Saigal (2004): |
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"... we suggest that clamping should be delayed a minimum of 30 to 45 seconds in preterm infants (after which time the fetoplacental circulation probably has stopped), which will allow a partial transfusion and may reduce the severity of RDS [respiratory distress syndrome]. In addition, it may minimize the need for blood pressure support, improve iron stores, maintain Hct at a higher level, and decrease the need for subsequent blood transfusions. As neonatologists, it seems appropriate to start a campaign to say to the person delivering the baby (obstetrician or midwife), "WAIT A MINUTE" before clamping the cord ..." |
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Dr. George Malcolm Morley and I responded to the "WAIT A MINUTE" article by Philip and Saigal. Our letters and a reply from Dr. Philip are posted at: |
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http://neoreviews.aappublications.org/cgi/eletters/5/4/e142 |
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Note, the link to cordclamping.com in Dr. Morley's letter no longer works. |
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The new link is: |
http://www.cordclamp.com/ |
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Posted: February 27, 2006 (a work in progress) |
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<<< 6d >>> |
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