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  • Respiratory and cardiovascular stabilisation prior to deferred umbilical cord clamping in premature infants: a feasibility and safety study

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Respiratory and cardiovascular stabilisation prior to deferred umbilical cord clamping in premature infants: a feasibility and safety study
  1. Anne Marie Heuchan,
  2. Joyce E O’Shea,
  3. Julie Aitken
  1. Department of Neonatal Medicine, Royal Hospital for Children, Glasgow, G51 4TF, UK
  1. Correspondence to Dr Anne Marie Heuchan, Department of Neonatal Medicine, Royal Hospital for Children, Glasgow, G51 4TF, UK; annemarie.heuchan{at}ggc.scot.nhs.uk

http://dx.doi.org/10.1136/archdischild-2023-325360

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    The World Health Organisation recommends deferred umbilical cord clamping (performed 1–3 min after birth) for all births (including preterm), while initiating simultaneous essential neonatal care.1 The optimal time for cord clamping has not been established, but respiratory and haemodynamic transition after birth are interlinked2 and the Resuscitation Council UK advocates cord clamping after the lungs are inflated.3 Despite this, the recommendation of at least 60 seconds deferred cord clamping (DCC) is not universally achieved in preterm infants because of the challenges of providing necessary respiratory and thermal care, prior to cord clamping.

    We introduced a commercial bedside stabilisation platform (Lifestart),4 with an attached small multiparameter monitor (Phillips X2) and rPAP module, to help ensure safe delivery room stabilisation with intact cord, and to facilitate DCC for …

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    Footnotes

    • Twitter @oshea_jem

    • Contributors The concept of this project, practical implementation, audit development and manuscript writing was undertaken by AMH. JEO’S assisted with implementation and audit development and JA undertook the data collection and analysis of the data.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.