A Randomized Controlled Trial of Immediate versus Delayed Umbilical Cord Clamping in Multiple-Birth Infants Born Preterm.

Abstract:

BACKGROUND:Delayed cord clamping (DCC) improves placental transfusion and increases blood volume in preterm infants when compared with immediate cord clamping (ICC). However, evidence to support DCC in multiple-birth preterm infants is still lacking. OBJECTIVE:To compare the outcomes of ICC versus DCC in preterm infants of multiple births. STUDY DESIGN:Women with a multiple pregnancy, including twins and triplets with a gestational age of 28-36 weeks, were randomized to receive ICC (23 women and 50 infants) or DCC for 30-60 s (24 and 51 infants). The infants' hematocrit on admission, superior vena cava (SVC) flow measured within 24 h, and hematocrit at 8 weeks of age were compared. The use of uterotonic agents during delivery was not controlled in this study. RESULT:All infants were delivered by cesarean section (CS) except for 2 sets of twins, 1 in each group. Maternal and infant baseline characteristics in both groups were comparable. There were no significant differences between the groups in admission hematocrit, SVC flow measured within 24 h, hematocrit at 8 weeks of age, or any other neonatal outcomes. The incidence of maternal postpartum hemorrhage (PPH) was higher in the DCC group (4.3% in ICC vs. 25% in DCC, p = 0.04). CONCLUSION:DCC for 30-60 s did not improve placental transfusion or increase systemic blood flow in multiple-birth infants born preterm, mostly by CS, when compared with ICC. The finding of a higher PPH rate in the DCC group raises concerns about the maternal safety of this procedure in this patient population.

journal_name

Neonatology

journal_title

Neonatology

authors

Ruangkit C,Bumrungphuet S,Panburana P,Khositseth A,Nuntnarumit P

doi

10.1159/000494132

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

156-163

issue

2

eissn

1661-7800

issn

1661-7819

pii

000494132

journal_volume

115

pub_type

杂志文章,随机对照试验
  • Secretoneurin Serum Levels in Healthy Term Neonates and Neonates with Hypoxic-Ischaemic Encephalopathy.

    abstract:BACKGROUND:Hypoxic-ischaemic encephalopathy is a major cause of neurologic impairment and mortality in neonates. Early knowledge of brain injury is important to guide therapeutic decisions and reliably inform the parents. Increased secretoneurin levels have been detected in adult patients suffering from brain injury an...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000444245

    authors: Wechselberger K,Schmid A,Posod A,Höck M,Neubauer V,Fischer-Colbrie R,Kiechl-Kohlendorfer U,Griesmaier E

    更新日期:2016-01-01 00:00:00

  • Volume not guaranteed: closed endotracheal suction compromises ventilation in volume-targeted mode.

    abstract:BACKGROUND:Closed endotracheal suction interferes with mechanical ventilation received by infants, but the change to ventilation may be different when ventilator modes that target expired tidal volume (VT(e)) are used. OBJECTIVE:To measure airway pressure and tidal volume distal to the endotracheal tube (ETT) during a...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000316854

    authors: Kiraly NJ,Tingay DG,Mills JF,Dargaville PA,Copnell B

    更新日期:2011-01-01 00:00:00

  • A Distinctive Ictal Amplitude-Integrated Electroencephalography Pattern in Newborns with Neonatal Epilepsy Associated with KCNQ2 Mutations.

    abstract:BACKGROUND:Recurrent and prolonged seizures are harmful for the developing brain, emphasizing the importance of early seizure recognition and effective therapy. Amplitude-integrated electroencephalography (aEEG) has become a valuable tool to diagnose epileptic seizures, and, in parallel, genetic etiologies are increasi...

    journal_title:Neonatology

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000478651

    authors: Vilan A,Mendes Ribeiro J,Striano P,Weckhuysen S,Weeke LC,Brilstra E,de Vries LS,Cilio MR

    更新日期:2017-01-01 00:00:00

  • Hemolysis and Glucose-6-Phosphate Dehydrogenase Deficiency-Related Neonatal Hyperbilirubinemia.

    abstract:BACKGROUND:Glucose-6-phosphate dehydrogenase (G6PD) deficiency is a common enzyme deficiency affecting more than 300 million individuals worldwide. Extreme neonatal hyperbilirubinemia, with its severe sequelae of bilirubin neurotoxicity and the potential of death, is the most devastating manifestation of G6PD deficienc...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000489820

    authors: Kaplan M,Wong RJ,Stevenson DK

    更新日期:2018-01-01 00:00:00

  • DHA Reduces Oxidative Stress after Perinatal Asphyxia: A Study in Newborn Piglets.

    abstract:BACKGROUND:Perinatal hypoxic-ischemic brain damage is a major cause of acute mortality and chronic neurological morbidity in infants and children. Oxidative stress due to free radical formation and the initiation of abnormal oxidative reactions appears to play a key role. Docosahexanoic acid (DHA), a main component of ...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000454982

    authors: Solberg R,Longini M,Proietti F,Perrone S,Felici C,Porta A,Saugstad OD,Buonocore G

    更新日期:2017-01-01 00:00:00

  • Randomized crossover comparison of proportional assist ventilation and patient-triggered ventilation in extremely low birth weight infants with evolving chronic lung disease.

    abstract:BACKGROUND:Refinement of ventilatory techniques remains a challenge given the persistence of chronic lung disease of preterm infants. METHODS:To test the hypothesis that proportional assist ventilation (PAV) will allow to lower the ventilator pressure at equivalent fractions of inspiratory oxygen (FiO(2)) and arterial...

    journal_title:Neonatology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1159/000098376

    authors: Schulze A,Rieger-Fackeldey E,Gerhardt T,Claure N,Everett R,Bancalari E

    更新日期:2007-01-01 00:00:00

  • Safety of high-dose recombinant erythropoietin in a neonatal rat model.

    abstract:BACKGROUND:High-dose recombinant erythropoietin (rEpo) is neuroprotective in neonatal animal models of brain injury, but the long-term consequences of neonatal exposure have not been studied. OBJECTIVES:We hypothesized that multiple injections of high-dose rEpo during the neonatal period would be safe, and would impro...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000096969

    authors: McPherson RJ,Demers EJ,Juul SE

    更新日期:2007-01-01 00:00:00

  • The Neuroprotective Effects of Hypothermia on Bilirubin-Induced Neurotoxicity in vitro.

    abstract:BACKGROUND:In high-risk newborns indirect hyperbilirubinemia can lead to acute bilirubin encephalopathy and kernicterus. Despite the current therapeutic modalities, preventing or reversing the neurotoxicity cannot be achieved in all infants. OBJECTIVE:To investigate the neuroprotective effects of hypothermia on biliru...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000487221

    authors: Kuter N,Aysit-Altuncu N,Ozturk G,Ozek E

    更新日期:2018-01-01 00:00:00

  • Inhaled Glucocorticoids and Pneumonia in Preterm Infants: Post Hoc Results from the NEuroSIS Trial.

    abstract:BACKGROUND:Inhaled glucocorticoids may increase the risk of pneumonia in adults. Thus, respiratory infections may be a potential explanation for the non-significantly increased mortality seen in the glucocorticoid group in the largest randomized trial on inhaled glucocorticoids for preventing bronchopulmonary dysplasia...

    journal_title:Neonatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000468507

    authors: Koch A,Kreutzer K,von Oldershausen G,Poets CF,Bassler D,NEuroSIS Trial Group.

    更新日期:2017-01-01 00:00:00

  • Effect of postnatal intermittent hypoxia on growth and cardiovascular regulation of rat pups.

    abstract:BACKGROUND:Intermittent hypoxic episodes are common among preterm infants, although longer term consequences on growth pattern and cardiovascular regulation are unclear. Furthermore, the effects of intermittent hypoxia (IH) may depend on the pattern of hypoxia-reoxygenation. OBJECTIVES:We tested the hypothesis that a ...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000338096

    authors: Pozo ME,Cave A,Köroğlu OA,Litvin DG,Martin RJ,Di Fiore J,Kc P

    更新日期:2012-01-01 00:00:00

  • The Relationship between Oxidative Stress, Intermittent Hypoxemia, and Hospital Duration in Moderate Preterm Infants.

    abstract:INTRODUCTION:Lipid peroxidation products are present following oxidation of polyunsaturated fatty acids in the eye, brain, and various cell membranes. Elevated levels of lipid peroxidation products and increased intermittent hypoxemia (IH) events have been associated with adverse outcomes in extremely preterm infants. ...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000509038

    authors: Shah VP,Raffay TM,Martin RJ,Vento M,Sánchez-Illana Á,Piñeiro-Ramos JD,Kuligowski J,Di Fiore JM

    更新日期:2020-01-01 00:00:00

  • Identifying Risk Factors Shared by Bronchopulmonary Dysplasia, Severe Retinopathy, and Cystic Periventricular Leukomalacia in Very Preterm Infants for Targeted Intervention.

    abstract:BACKGROUND:Bronchopulmonary dysplasia (BPD), severe retinopathy of prematurity (sROP), and cystic periventricular leukomalacia (cPVL) are 3 major morbidities with long-term neurodevelopmental impairments in preterm infants. OBJECTIVE:To investigate the strength of associations and identify key risk factors shared by B...

    journal_title:Neonatology

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000487505

    authors: Wang LW,Lin YC,Wang ST,Huang CC,on behalf of the Taiwan Premature Infant Developmental Collaborative Study Group.

    更新日期:2018-01-01 00:00:00

  • Effect of oxygen on the expression of hypoxia-inducible factors in human fetal lung explants.

    abstract:BACKGROUND:Fetal lung development requires proper coordination between lung epithelial and vascular morphogenesis. A major determinant in lung vascular development is vascular endothelial growth factor (VEGF), which is regulated by hypoxia-inducible factors (HIFs). VEGF is expressed in the airway epithelium, while its ...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000261018

    authors: Rajatapiti P,de Rooij JD,Beurskens LW,Keijzer R,Tibboel D,Rottier RJ,de Krijger RR

    更新日期:2010-06-01 00:00:00

  • Very Preterm Infants with Technological Dependence at Home: Impact on Resource Use and Family.

    abstract:OBJECTIVE:To examine the impact of medical complexity among very preterm infants on health care resource use, family, and neurodevelopmental outcomes at 18 months' corrected age. METHODS:This observational cohort study of Canadian infants born < 29 weeks' gestational age in 2009-2011 compared infants with and those wi...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000496494

    authors: Nassel D,Chartrand C,Doré-Bergeron MJ,Lefebvre F,Ballantyne M,Van Overmeire B,Luu TM,on behalf of the Canadian Neonatal Network and the Canadian Neonatal Follow-Up Network.

    更新日期:2019-01-01 00:00:00

  • New generation synthetic surfactants.

    abstract::The treatment of preterm newborn rabbits with synthetic surfactants containing simple phospholipid mixtures and peptides gives similar tidal volumes to treatment with poractant alfa (Curosurf®). The addition of both surfactant protein B and C analogs to the phospholipid mixture will stabilize the alveoli, measured as ...

    journal_title:Neonatology

    pub_type: 杂志文章,评审

    doi:10.1159/000349942

    authors: Curstedt T,Calkovska A,Johansson J

    更新日期:2013-01-01 00:00:00

  • Survey of practices regarding utilization of inhaled steroids in 223 German neonatal units.

    abstract:BACKGROUND:No survey has been published in recent years which primarily focuses on the prescription of inhaled corticosteroids in neonatal practice. Thus, the utilization rate of inhaled corticosteroids is unknown. OBJECTIVES:To elucidate the current utilization rate of inhaled corticosteroids in the prevention and th...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000316978

    authors: Maas C,Poets CF,Bassler D

    更新日期:2010-01-01 00:00:00

  • Body Composition in Very Preterm Infants: Role of Neonatal Characteristics and Nutrition in Achieving Growth Similar to Term Infants.

    abstract:BACKGROUND:The identification of factors involved in the postnatal growth of preterm infants will help achieve growth similar to that of term infants. OBJECTIVES:As per protocol: to compare body composition in very preterm infants at term-corrected age (TCA) with that in term infants, and to explore relationships betw...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000450882

    authors: Tremblay G,Boudreau C,Bélanger S,St-Onge O,Pronovost E,Simonyan D,Marc I

    更新日期:2017-01-01 00:00:00

  • Effect of Concurrent Src Kinase Inhibition with Short-Duration Hypothermia on Ca2+/Calmodulin Kinase IV Activity and Neuropathology after Hypoxia-Ischemia in the Newborn Swine Brain.

    abstract:BACKGROUND:Hypoxia-ischemia (HI) results in increased activation of Ca2+/calmodulin kinase IV (CaM kinase IV) mediated by Src kinase. Therapeutic hypothermia ameliorates neuronal injury in the newborn. HYPOTHESIS:Inhibition of Src kinase concurrently with hypothermia further attenuates the hypoxia-induced increased ac...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000480067

    authors: Kratimenos P,Koutroulis I,Jain A,Malaeb S,Delivoria-Papadopoulos M

    更新日期:2018-01-01 00:00:00

  • Automated Quantification of Fragmented Red Blood Cells: Neonatal Reference Intervals and Clinical Disorders of Neonatal Intensive Care Unit Patients with High Values.

    abstract:BACKGROUND:Schistocytes are circulating erythrocyte fragments. They can be identified microscopically from a blood smear; but automated systems evaluate more cells and avoid inconsistencies in microscopy. Studies using adult subjects indicate that automated quantification of schistocytes can be clinically useful. Howev...

    journal_title:Neonatology

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000491626

    authors: Judkins AJ,MacQueen BC,Christensen RD,Henry E,Snow GL,Bennett ST

    更新日期:2019-01-01 00:00:00

  • End-of-Life Care and Survival without Major Brain Damage in Newborns at the Limit of Viability.

    abstract:BACKGROUND:The probabilities of survival and survival without major brain damage (MBD) are low in newborns at the limit of viability. Survival without MBD constitutes a major concern for parents and professionals. OBJECTIVES:To know the probabilities of survival without MBD in newborns ≤26 weeks' gestational age (GA) ...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000452195

    authors: García-Muñoz Rodrigo F,Urquía Martí L,García Hernández JÁ,Figueras Aloy J,García-Alix Pérez A,SEN1500 Network of the Spanish Neonatal Society.

    更新日期:2017-01-01 00:00:00

  • Early neonatal special care units and their scientific achievements.

    abstract::Treatment of sick neonates originated in maternity and foundling hospitals in the 19th century. Nosocomial infections and difficult logistics of wet-nursing prevented admission of neonates in most children's hospitals well into the 20th century. In this article, 31 hospitals are described, all located in large cities,...

    journal_title:Neonatology

    pub_type: 历史文章,杂志文章

    doi:10.1159/000336285

    authors: Obladen M

    更新日期:2012-01-01 00:00:00

  • Respiratory function and near infrared spectroscopy recording during cardiopulmonary resuscitation in an extremely preterm newborn.

    abstract::We describe a case highlighting several controversial and important topics regarding neonatal cardiopulmonary resuscitation (CPR). Current neonatal guidelines recommend a 3:1 compression:ventilation ratio; however, the most effective ratio of delivering chest compressions (CC) remains controversial. We report a case o...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000357609

    authors: Li ES,Cheung PY,Pichler G,Aziz K,Schmölzer GM

    更新日期:2014-01-01 00:00:00

  • Oral ibuprofen versus intravenous ibuprofen or intravenous indomethacin for the treatment of patent ductus arteriosus in preterm infants: a systematic review and meta-analysis.

    abstract:BACKGROUND:Pharmacological closure of patent ductus arteriosus (PDA) is commonly achieved by intravenous (IV) administration of ibuprofen or indomethacin. Occasionally, oral ibuprofen is used for PDA treatment although its efficacy and safety are unclear. OBJECTIVES:To systematically review randomized and quasi-random...

    journal_title:Neonatology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1159/000335332

    authors: Neumann R,Schulzke SM,Bührer C

    更新日期:2012-01-01 00:00:00

  • Insulin-like growth factor-1 and anti-vascular endothelial growth factor in retinopathy of prematurity: has the time come?

    abstract::Treatment of retinopathy of prematurity (ROP) is currently evolving. Novel therapeutic options are emerging that have the potential to complement existing therapies and improve treatment outcomes. However, any new therapeutic option must be thoroughly evaluated before existing (and successful) treatment paradigms can ...

    journal_title:Neonatology

    pub_type: 杂志文章,评审

    doi:10.1159/000365132

    authors: Stahl A,Hellstrom A,Smith LE

    更新日期:2014-01-01 00:00:00

  • The Use of Peritoneal Dialysis in Phenobarbitone Toxicity in a Critically Unwell Neonate.

    abstract:BACKGROUND:Phenobarbitone (PB) is the first-line anti-convulsant for neonatal seizures. The use of peritoneal dialysis (PD) to enhance drug elimination in cases of neonatal PB overdose has not been reported. OBJECTIVE:To report a case of neonatal severe PB toxicity and review the elimination of PB by PD. METHODS:Asse...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000481879

    authors: Le Page AK,Stewart AE,Roehr CC,Johnstone LM,Graudins A

    更新日期:2018-01-01 00:00:00

  • Does sustained lung inflation at birth improve outcome of preterm infants at risk for respiratory distress syndrome?

    abstract:BACKGROUND:Sustained lung inflation (SLI) applied at birth has been demonstrated to lead to clearance of lung fluid and achievement of a precocious functional residual capacity in animal studies. OBJECTIVES:To verify if the application of SLI in preterm infants at birth may reduce the need for mechanical ventilation a...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000298312

    authors: Lista G,Fontana P,Castoldi F,Cavigioli F,Dani C

    更新日期:2011-01-01 00:00:00

  • Accuracy of Brain Natriuretic Peptide for Diagnosing Pulmonary Hypertension in Severe Bronchopulmonary Dysplasia.

    abstract:BACKGROUND:Premature infants with severe bronchopulmonary dysplasia (sBPD) are at risk of pulmonary hypertension (PH). Serum brain natriuretic peptide (BNP) is used to predict disease severity in adult PH. Its diagnostic utility in sBPD-associated PH is unknown. OBJECTIVE:The aim of this paper was to determine the acc...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000499082

    authors: Avitabile CM,Ansems S,Wang Y,Fraga MV,Kirpalani HM,Zhang H,Mercer-Rosa L,Jensen EA

    更新日期:2019-01-01 00:00:00

  • Caffeine Prevents Hyperoxia-Induced Functional and Structural Lung Damage in Preterm Rabbits.

    abstract:BACKGROUND:Caffeine is a commonly used drug for apnea of prematurity. It may, however, also have a beneficial effect on bronchopulmonary dysplasia (BPD), which is the most common complication of extreme preterm birth. OBJECTIVES:To study the inflammatory, structural and functional effects of caffeine in an animal mode...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000442937

    authors: Nagatomo T,Jiménez J,Richter J,De Baere S,Vanoirbeek J,Naulaers G,Allegaert K,Croubels S,Deprest JA,Toelen J

    更新日期:2016-01-01 00:00:00

  • A randomised crossover trial of clinical algorithm for oxygen saturation targeting in preterm infants with frequent desaturation episodes.

    abstract:OBJECTIVES:Strategies for oxygen therapy for preterm infants, such as the Vermont-Oxford's 'Breathsavers' guidelines, seek to strike a balance between the potential risks of the extremes of hyperoxia and hypoxia in preterm infants. Using an algorithm based on those guidelines, we aimed to compare the proportion of time...

    journal_title:Neonatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000368295

    authors: Clarke A,Yeomans E,Elsayed K,Medhurst A,Berger P,Skuza E,Tan K

    更新日期:2015-01-01 00:00:00

  • Gestational Age and the Cord Blood Lipidomic Profile in Late Preterm and Term Infants.

    abstract:BACKGROUND:Lipid metabolism is vital to fetal development and cardiometabolic health and the final weeks of gestation are known to be a time of intense metabolic activity. New techniques such as lipidomics allow investigation of a complex lipidomic profile in infants. OBJECTIVES:This research aimed to (1) describe var...

    journal_title:Neonatology

    pub_type: 杂志文章

    doi:10.1159/000487506

    authors: McCloskey K,De Livera AM,Collier F,Ponsonby AL,Carlin JB,Vuillermin P,Mellett NA,Jayawardana K,Weir JM,Blangero J,Curran JE,Burgner D,Meikle PJ,BIS investigator group.

    更新日期:2018-01-01 00:00:00