Featured Review: Does delaying cord clamping or using cord milking at birth improve the health of babies born too early?

Delayed cord clamping improves health of babies born too early: updated Cochrane ReviewThis updated Cochrane systematic review   finds that delayed, rather than early, cord clamping may reduce the risk of death before discharge for babies born preterm.The authors set out to determine if delayed cord clamping or umbilical cord milking improves the health outcomes for babies born before 37 weeks'gestation. These interventions were compared with early cord clamping.Babies born before 37 weeks, or preterm, have poorer health outcomes than babies born at term, particularly if they are born before 32 weeks. They can experience problems with the functioning of many of their major organs including their lungs, gut and hearts, and have a greater risk of dying or having long-term problems such as cerebral palsy. After birth, the babies may need blood transfusions and drugs to strengthen their heart contractions (inotropes) and to raise their blood pressure. It is important to try to find ways of improving the health of these tiny babies.Lead author Heike Rabe, Professor of Perinatal Medicine and Honorary Consultant Neonatologist at Brighton and Sussex Medical School said: “Early clamping of the umbilical cord has been standard practice over many years. It allows the baby to be transferred quickly to care from a specialist team of doctors either at the side of the room or in another room. Yet, delayed clamping for half to three or more minutes allows continuing bloo d flow be...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news

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Abstract BACKGROUND: The goal of fetal monitoring in labour is the early detection of a hypoxic baby. There are a variety of tools and methods available for intermittent auscultation (IA) of the fetal heart rate (FHR). Low- and middle-income countries usually have only access to a Pinard/Laënnec or the use of a hand-held Doppler device. Currently, there is no robust evidence to guide clinical practice on the most effective IA tool to use, timing intervals and length of listening to the fetal heart for women during established labour. OBJECTIVES: To evaluate the effectiveness of different tools for IA of ...
Source: Cochrane Database of Systematic Reviews - Category: Journals (General) Authors: Tags: Cochrane Database Syst Rev Source Type: research
CONCLUSIONS: CTG during labour is associated with reduced rates of neonatal seizures, but no clear differences in cerebral palsy, infant mortality or other standard measures of neonatal wellbeing. However, continuous CTG was associated with an increase in caesarean sections and instrumental vaginal births. The challenge is how best to convey these results to women to enable them to make an informed decision without compromising the normality of labour.The question remains as to whether future randomised trials should measure efficacy (the intrinsic value of continuous CTG in trying to prevent adverse neonatal outcomes unde...
Source: Cochrane Database of Systematic Reviews - Category: Journals (General) Authors: Tags: Cochrane Database Syst Rev Source Type: research
EXCLUSIVE: Drinking and taking drugs while pregnant can lead to stillbirth, miscarriage, cerebral palsy and heart defects, graphics from New York-based website MentalHelp.net show.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
After years of fertility struggles, loss and pain, a Canadian family found renewed hope through surrogacy. On Jan. 22, Kate Austin-Rivas and Didier Rivas welcomed their daughter Scarlett Ryan via surrogate. Birth photographer Ashley Marston was present to capture this powerful moment of joy -- which came after many years of darkness. For Kate and Didier, the journey to parenthood has been filled with tragedy. After suffering multiple miscarriages, the couple welcomed their daughter Elle in 2010. Two years later, Kate delivered a stillborn baby girl, whom they named Katelyn. After another miscarriage, t...
Source: Science - The Huffington Post - Category: Science Source Type: news
Background: Labour is perhaps the most hazardous time in pregnancy. As many as 20 % of cerebral palsy cases in term infants result from intrapartum events and up to 63 % of babies who develop intrapartum compromise have no prior risk factors. Sildenafil citrate (SC), a phosphodiesterase 5 inhibitor, improves uterine blood supply through vasodilatation and potentially could improve placental perfusion and hence reduce the risk of intrapartum fetal hypoxia. The aim of this study is to evaluate the efficacy of SC to reduce the risk of intrapartum fetal compromise and the need for emergency operative delivery.Methods...
Source: Journal of Translational Medicine - Category: Research Authors: Source Type: research
RIO DE JANEIRO (AP) — In the early weeks of Angelica Pereira's pregnancy, a mosquito bite began bothering her. At first it seemed a small thing. But the next day she awoke with a rash, a headache, a fever and a burning in her eyes. The symptoms disappeared within four days, but she fears the virus has left lasting consequences. Pereira's daughter Luiza was born in October with a head more than an inch (3 centimeters) below the range defined as healthy by doctors, a rare condition known as microcephaly that often results in mental retardation. A neurologist soon gave Pereira and her husband more bad news: The brain da...
Source: Science - The Huffington Post - Category: Science Source Type: news
By Lizette Borreli via @medicaldaily.com Spring is a time to celebrate the miracle of life and reflect on not just how mothers have impacted our lives, but how motherhood has impacted them. During the course of nine months of pregnancy, moms-to-be undergo common physical and emotional changes that lead to childbirth, from weight gain to mood swings. However, Healthline.com’s infographic “Body Changes During Pregnancy” illustrates the other surprising body changes women experience. Body image becomes a huge concern for women during pregnancy. A full-term pregnancy lasts about 40 weeks, says the Office On ...
Source: Cord Blood News - Category: Perinatology & Neonatology Authors: Tags: babies blood disorder brain development Cord Blood medical research parents pregnancy stem cells Uncategorized affordable cord blood banking cerebral palsy cord blood banking fees cord blood treatment for Leukemia cord clamping Source Type: blogs
    by Cari Nierenberg, Live Science Contributor Being pregnant can be a tiring experience for a woman’s body. Both the physical discomforts of pregnancy as well as the emotional stress of this major life change can cause sleep problems and keep a mother-to-be awake at night. Feeling exhausted is a common complaint during the first and third trimesters. But women might be caught off guard by how worn out they feel in the early months of pregnancy. “A lot of women are totally surprised by how fatigued they feel during the first trimester,” said Kathy Lee, a professor of nursing at the University...
Source: Cord Blood News - Category: Perinatology & Neonatology Authors: Tags: babies brain development Cord Blood medical research parents pregnancy stem cells Uncategorized affordable cord blood banking cerebral palsy cord blood banking fees cord blood treatment for Leukemia cord clamping due dates heal Source Type: blogs
By Lizette Borreli via @medicaldaily.com Spring is a time to celebrate the miracle of life and reflect on not just how mothers have impacted our lives, but how motherhood has impacted them. During the course of nine months of pregnancy, moms-to-be undergo common physical and emotional changes that lead to childbirth, from weight gain to mood swings. However, Healthline.com’s infographic “Body Changes During Pregnancy” illustrates the other surprising body changes women experience. Body image becomes a huge concern for women during pregnancy. A full-term pregnancy lasts about 40 weeks, says the Office On ...
Source: Cord Blood News - Category: Perinatology & Neonatology Authors: Tags: babies blood disorder brain development Cord Blood medical research parents pregnancy stem cells Uncategorized affordable cord blood banking cerebral palsy cord blood banking fees cord blood treatment for Leukemia cord clamping Source Type: blogs
      Dr. Alisa Hideg via @spokesmanreview Anyone thinking about pregnancy, should also be thinking about prenatal care. This care is important for the mother’s health and the health of the child. Whenever possible, it should begin prior to pregnancy. A visit with your health care provider prior to pregnancy to review your immunizations, start a prenatal vitamin with folic acid (which can prevent certain birth defects if begun prior to pregnancy) and otherwise “check in” is always a good idea. Once you are pregnant, regular prenatal care visits during pregnancy are just as important t...
Source: Cord Blood News - Category: Perinatology & Neonatology Authors: Tags: babies blood disorder brain development Cord Blood medical research parents pregnancy affordable cord blood banking cerebral palsy cord blood banking fees cord blood treatment for Leukemia cord clamping due dates healthy pregnanc Source Type: blogs
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