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Your BloodtoBaby Forum

A community to find research, ask for support and share experiences, success and challenges

Changing Practice to OCC

A Post your questions, comments, tips and challenges here. Lets share what works!

Physiology & Oxytocin

Share your stories and success around the role of hormones, physiology and third stage of labour

Resus with an Intact Cord

Baby is compromised, why cut of vital oxygen supply & reduce cardiac stability? The forum to begin a new conversation!

Stand Out From the Crowd

Mobilising change with success, are you leading the way in your workplace? Inspire us with your ideas

Research and Evidence

An area to collate successful practice policies, new evidence and resources to share with our community
New Posts
  • https://apps.who.int/iris/bitstream/handle/10665/148793/9789241508209_eng.pdf?sequence=1 "For basic newborn resuscitation, if there is experience in providing effective positive-pressure ventilation without cutting the umbilical cord, ventilation can be initiated before cutting the cord."
  • Ronny Knol, Emma Brouwer, Frans J. C. M. Klumper, Thomas van den Akker, Philip DeKoninck, G. J. Hutten, Enrico Lopriore, Anton H. van Kaam, Graeme R. Polglase, Irwin K. M. Reiss, Stuart B. Hooper and Arjan B. te Pas Link to open access research: https://www.frontiersin.org/articles/10.3389/fped.2019.00134/full Most preterm infants fail to aerate their immature lungs at birth and need respiratory support for cardiopulmonary stabilization. Cord clamping before lung aeration compromises cardiovascular function. Delaying cord clamping until the lung has aerated may be beneficial for preterm infants by optimizing hemodynamic transition and placental transfusion. A new purpose-built resuscitation table (the Concord) has been designed making it possible to keep the cord intact after preterm birth until the lung is aerated and the infant is respiratory stable and breathing [Physiological-Based Cord Clamping (PBCC)]. The aim of this study is to test the hypothesis whether stabilizing preterm infants by PBCC is at least as effective as the standard approach using time-based Delayed Cord Clamping (DCC).
  • Sharing link to ongoing research https://www.mdpi.com/2227-9067/6/4/60 Premature and full-term infants are at high risk of morbidities such as intraventricular hemorrhage or hypoxic-ischemic encephalopathy. The sickest infants at birth are the most likely to die and or develop intraventricular hemorrhage. Delayed cord clamping has been shown to reduce these morbidities, but is currently not provided to those infants that need immediate resuscitation. This review will discuss recently published and ongoing or planned clinical trials involving neonatal resuscitation while the newborn is still attached to the umbilical cord. We will discuss the implications on neonatal management and delivery room care should this method become standard practice. We will review previous and ongoing trials that provided respiratory support compared to no support. Lastly, we will discuss the implications of implementing routine resuscitation support outside of a research setting