Early versus delayed umbilical cord clamping in infants with congenital heart disease: a pilot, randomized, controlled trial

@article{Backes2015EarlyVD,
  title={Early versus delayed umbilical cord clamping in infants with congenital heart disease: a pilot, randomized, controlled trial},
  author={Carl H. Backes and H Huang and Clifford L. Cua and Vidu Garg and C V Smith and Han Yin and Mark Galantowicz and John Anthony Bauer and Timothy M. Hoffman},
  journal={Journal of Perinatology},
  year={2015},
  volume={35},
  pages={826-831}
}
Objective:Delayed umbilical cord clamping (DCC) at birth may provide a better neonatal health status than early umbilical cord clamping (ECC). However, the safety and feasibility of DCC in infants with congenital heart disease (CHD) have not been tested. This was a pilot, randomized, controlled trial to establish the safety and feasibility of DCC in neonates with CHD.Study Design:Pregnant women admitted >37 weeks gestational age with prenatal diagnosis of critical CHD were enrolled and… 
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23 Citations
Background Citations
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23 Citations

Timing of umbilical cord clamping among infants with congenital heart disease.
Early versus delayed umbilical cord clamping on maternal and neonatal outcomes
TLDR
Delayed Cord clamping in term and preterm infants was a simple, safe, and effective delivery procedure, which should be recommended, but the optimal cord clamping time remained controversial.
What does the evidence tell us? Revisiting optimal cord management at the time of birth
TLDR
Adopting a policy for resuscitation with an intact cord in a hospital setting takes a coordinated effort and requires teamwork by obstetrics, pediatrics, midwifery, and nursing.
Italian Recommendations for Placental Transfusion Strategies
TLDR
Benefits from delayed cord clamping are not merely related to placental-to-fetal blood transfusion; establishing spontaneous ventilation before cutting the cord improves venous return to the right heart and pulmonary blood flow, protecting the newborn from the transient low cardiac output, and systemic arterial pressure fluctuations.
A 3-armed multicenter randomized controlled trial: Placental Transfusion in Very Preterm Infants (PT-VPI).
Prematurity and Congenital Heart Disease: A Contemporary Review.
TLDR
The risks and benefits of early delivery, postnatal cardiac and noncardiac evaluation and management, surgical considerations, overall outcomes, and future directions regarding optimization of perinatal evaluated and management of fetuses and preterm and early term neonates with CHD are described.
A Quasi-Experimental Study to Assess Consequences of Early Versus Delay Umbilical Cord Clamping on Maternal and Neonatal Outcomes in Beni-Suef city
Nowadays, the timing of umbilical cord is considering а growing area of research. The researchers looking for optimize maternal & neonate outcomes. The early umbilical camping is determined as the…
The Use of Umbilical Cord Blood for Autologous Transfusion in Neonatal Open Heart Surgery.
TLDR
This review summarizes different aspects of UCB transfusion, including indications and contraindications; the collection procedure; storage timing; and special properties of one of its constituents, fetal hemoglobin, in the setting of hypothermic cardiopulmonary bypass.
Assess Stability of Neonatal Oxygen Saturation (SpO2) with Delay Cord Clamping WhilePracticing Kangaroo Mother Care and Compare it with Defined References Ranges of Oxygen Saturation
TLDR
It is recommended that all stable newborns should have delay cord cutting and be placed and remain in direct skin-to-skin contact with their mothers immediately after delivery for at least 5 minutes this could significantly improve their cardiovascular stability.
Delayed cord clamping in Nepal-Evidence for implementation
TLDR
In conclusion, delaying umbilical cord clamping for 180 seconds is safe and associated with a significantly reduced risk of anaemia at 8 and 12 months which may have neurodevelopmental effects at a later age and is not associated with an increased risk of hyperbilirubinemia during the first days of life or risk of jaundice within 4 weeks of age.
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References

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TLDR
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