Importance of placental transfusion on postnatal cardiopulmonary adaptation and neonatal outcome
Authors:
P. Korček 1,2; Z. Straňák 1,2
Authors place of work:
Ústav pro péči o matku a dítě, Praha
1; 3. lékařská fakulta Univerzity Karlovy, Praha
2
Published in the journal:
Čes-slov Neonat 2022; 28 (1): 50-54.
Category:
Reviews
Summary
Delayed (deferred) cord clamping represents the most physiologic method of placental transfusion. In case of adequate lung inflation (and uterine contractions) the increase in circulating blood volume facilitates postnatal cardiopulmonary adaptation and improves systemic oxygenation. The changes lead to reduced mortality and risk of serious neonatal morbidities (intraventricular hemorrhage, hypotension requiring inotropic support, anemia of prematurity) with improved neurodevelopmental outcome in preterm infants. The authors present an overview of physiology and pathophysiology of placental transfusion, its methods and impact on neonatal morbidity and long-term outcome. Up-to-date international recommendations regarding the management of placental transfusion are also included.
Keywords:
Hemodynamics – neonatal morbidity and mortality – placental transfusion – delayed cord clamping – umbilical cord milking
Zdroje
1. Hooper SB, Binder-Heschl C, Polglase GR, et al. The timing of umbilical cord clamping at birth: physiological considerations. Matern Health Neonatol Perinatol 2016; 2: 4.
2. Torres-Cuevas I, Cernada M, Nuñez A, et al. Oxygen supplementation to stabilize preterm infants in the fetal to neonatal transition: No satisfactory answer. Front Pediatr 2016; 4: 29.
3. Hooper SB, Kitchen MJ, Polglase GR, Roehr CC, Te Pas AB. The physiology of neonatal resuscitation. Curr Opin Pediatr 2018; 30: 187–191.
4. Katheria AC, Brown MK, Rich W, Arnell K. Providing a placental transfusion in newborns who need resuscitation. Front Pediatr 2017; 5: 1.
5. Su BH, Lin HY, Huang FK, Tsai ML, Huang YT. Circulatory management focusing on preventing intraventricular hemorrhage and pulmonary hemorrhage in preterm infants. Pediatr Neonatol 2016; 57: 453–462.
6. Bhatt S, Alison BJ, Wallace EM, et al. Delaying cord clamping until ventilation onset improves cardiovascular function at birth in preterm lambs. J Physiol 2013; 591: 2113–2126.
7. Vain NE, Satragno DS, Gorenstein AN, et al. Effect of gravity on volume of placental transfusion: A multicentre, randomised, non-inferiority trial. Lancet 2014; 384: 235–240.
8. Jain R, Jain A, Devgan V, Sekhar J. Effect of alternative positions of neonates prior to delayed cord clamping on placental transfusion: A randomized control trial. J Matern Fetal Neonatal Med 2020; 33: 1511–1516.
9. Straňák Z, Feyereislová S, Korček P, Dempsey E. Placental transfusion and cardiovascular instability in the preterm infant. Front Pediatr 2018; 6: 39.
10. Katheria AC, Truong G, Cousins L, Oshiro B, Finer NN. Umbilical cord milking versus delayed cord clamping in preterm infants. Pediatrics 2015; 136: 61–69.
11. Josephsen JB, Potter S, Armbrecht ES, Al-Hosni M. Umbilical cord milking in extremely preterm infants: A randomized controlled trial comparing cord milking with immediate cord clamping. Am J Perinatol 2022; 39: 436–443.
12. Katheria A, Reister F, Essers J, et al. Association of umbilical cord milking vs delayed umbilical cord clamping with death or severe intraventricular hemorrhage among preterm infants. JAMA 2019; 322: 1877–1886.
13. Backes CH, Huang H, Iams JD, Bauer JA, Giannone PJ. Timing of umbilical cord clamping among infants born at 22 through 27 weeks‘ gestation. J Perinatol 2016; 36: 35–40.
14. Fogarty M, Osborn DA, Askie L, et al. Delayed vs early umbilical cord clamping for preterm infants: A systematic review and meta-analysis. Am J Obstet Gynecol 2018; 218: 1–18.
15. Ghavam S, Batra D, Mercer J, et al. Effects of placental transfusion in extremely low birthweight infants: Meta-analysis of long- and short-term outcomes. Transfusion 2014; 54: 1192–1198.
16. Tarnow-Mordi W, Morris J, Kirby A, et al. Delayed versus immediate cord clamping in preterm infants. N Engl J Med 2017; 377: 2445–2455.
17. Backes CH, Rivera BK, Haque U, et al. Placental transfusion strategies in very preterm neonates: A systematic review and meta-analysis. Obstet Gynecol 2014; 124: 47–56.
18. Dempsey EM, Barrington KJ, Marlow N, O‘Donnell CP, Miletin J, Naulaers G, et al. Management of hypotension in preterm infants (The HIP Trial): A randomised controlled trial of hypotension management in extremely low gestational age newborns. Neonatology 2014; 105: 275–281.
19. Sommers R, Stonestreet BS, Oh W, et al. Hemodynamic effects of delayed cord clamping in premature infants. Pediatrics 2012; 129: e667–e672.
20. Baenziger O, Stolkin F, Keel M, et al. The influence of the timing of cord clamping on postnatal cerebral oxygenation in preterm neonates: A randomized, controlled trial. Pediatrics 2007; 119: 455–459.
21. Brown BE, Shah PS, Afifi JK, et al. Delayed cord clamping in small for gestational age preterm infants. Am J Obstet Gynecol 2022; 226: 247.e1–247.e10.
22. Mercer JS, Erickson-Owens DA, Vohr BR, et al. Effects of placental transfusion on neonatal and 18 month outcomes in preterm infants: A randomized controlled trial. J Pediatr 2016; 168: 50–55. e1.
23. Dekker J, Martherus T, Cramer SJE, van Zanten HA, Hooper SB, Te Pas AB. Tactile stimulation to stimulate spontaneous breathing during stabilization of preterm infants at birth: A retrospective analysis. Front Pediatr 2017; 5: 61.
24. Hoyle ES, Hirani S, Ogden S, Deeming J, Yoxall CW. Quality improvement programme to increase the rate of deferred cord clamping at preterm birth using the lifestart trolley. Arch Dis Child Fetal Neonatal Ed 2020; 105: 652–655.
25. Sæther E, Gülpen FR, Jensen C, Myklebust TÅ, Eriksen BH. Neonatal transitional support with intact umbilical cord in assisted vaginal deliveries: A quality-improvement cohort study. BMC Pregnancy Childbirth 2020; 20: 496.
26. McDonald SJ, Middleton P, Dowswell T, Morris PS. Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. Cochrane Database Syst Rev 2013; 2013: CD004074.
27. Rabe H, Gyte GM, Díaz-Rossello JL, Duley L. Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes. Cochrane Database Syst Rev 2019; 9: CD003248.
28. American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice. Delayed umbilical cord clamping after birth: ACOG committee opinion, number 814. Obstet Gynecol 2020; 136: e100–e106.
29. Saugstad OD, Robertson NJ, Vento M. A critical review of the 2020 international liaison committee on resuscitation treatment recommendations for resuscitating the newly born infant. Acta Paediatr 2021; 110: 1107–1112.
30. Madar J, Roehr CC, Ainsworth S, et al. European resuscitation council guidelines 2021: Newborn resuscitation and support of transition of infants at birth. Resuscitation 2021; 161: 291–326.
Štítky
Neonatology Neonatal NurseČlánok vyšiel v časopise
Czech and Slovak Neonatology
2022 Číslo 1
Najčítanejšie v tomto čísle
- Persistent pulmonary hypertension in the newborn: pathophysiology, diagnosis and treatment
- Neonatal myocardial hypertrophy
- Treatment of neonatal hemodynamic compromise
- Recent methods of perfusion measurement in newborn