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Neonatal transfusion practice
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  • Published on:
    Neonatal Transfusion

    Dear Editor

    Dr Morley implies that early cord clamping is the main cause of anaemia and blood transfusion in preterm infants and of hypoxic-ischaemic encephalopathy in full term infants. He sites references from a time long before neonatal intensive care was available and when preterm infants who would require transfusion would not have survived.

    The reason preterm neonates require transfusion is not,...

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    Conflict of Interest:
    None declared.
  • Published on:
    Placental transfusion as an alternative

    Dear Editor

    Placental transfusion ought to be considered as possibly the safest alternative to neonatal transfusions. Although clamping of the umbilical cord has been practiced for hundreds of years, until about 20 to 25 years ago most textbooks of obstetrics still taught that the newborn should be breathing on its own before the cord is clamped, and many advocated waiting until pulsations of the cord had stopped....

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    Conflict of Interest:
    None declared.
  • Published on:
    Preventing Neonatal Transfusion

    Dear Editor

    For obstetricians and midwives, preventing (sometimes massive) blood loss and thus avoiding maternal transfusion are basic principles of practice. Therefore, the introductory statement in this article from Hammersmith Hospital is quite astounding:

    “Sick neonates are one of the most heavily transfused groups of patients in modern medicine.”

    The authors do not attempt to explain or pre...

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    Conflict of Interest:
    None declared.