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A review on development of placental transfusion in term and preterm infants
Frontiers in Pediatrics ( IF 2.1 ) Pub Date : 2022-09-15 , DOI: 10.3389/fped.2022.890988
Jiangyi Lu 1 , Guang Yue 1 , Qianying Wang 1 , Xiaofeng Zhou 1 , Rong Ju 1
Affiliation  

In recent years, it has been verified that placental transfusion can replenish blood volume of neonates, improve organ perfusion in the early postnatal stage, and facilitate the transition from fetal circulation to adult circulation. Meanwhile, placental transfusion can reduce the need for blood transfusion and the onset of intraventricular hemorrhage, necrotizing enterocolitis, bronchopulmonary dysplasia, and other complications. Furthermore, it can improve the iron store and the long-term prognosis of central nervous system, and reduce infant mortality. Different methods have been used, including delayed cord clamping, intact umbilical cord milking, and cut umbilical cord milking. The World Health Organization (WHO) and other academic organizations recommend the routine use of delayed cord clamping at birth for the most vigorous term and preterm neonates. However, details of placental transfusion should be clarified, and the short/long-term impacts of this technology on some infants with special conditions still require further study.



中文翻译:

足月和早产儿胎盘输血发展的综述

近年来证实,胎盘输血可补充新生儿血容量,改善产后早期器官灌注,促进胎儿循环向成人循环过渡。同时,胎盘输血可以减少输血的需要,减少脑室内出血、坏死性小肠结肠炎、支气管肺发育不良等并发症的发生。此外,它可以改善铁储存和中枢神经系统的长期预后,降低婴儿死亡率。已使用不同的方法,包括延迟脐带钳夹、完整脐带挤奶和剪断脐带挤奶。世界卫生组织 (WHO) 和其他学术组织建议对最有活力的足月和早产新生儿在出生时常规使用延迟脐带钳夹。但是,胎盘输血的细节有待厘清,该技术对部分特殊情况婴儿的短期/长期影响仍需进一步研究。

更新日期:2022-09-15
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