Umbilical Cord Milking in Nonvigorous Infants: A Cluster-Randomized Crossover Trial

A.C. Katheria, E. Clark, B. Yoder, G.M. Schmölzer, B. H. Yan Law, W. El-Naggar, D. Rittenberg, S. Sheth, M.A. Mohamed, C. Martin, F. Vora, S. Lakshminrusimha, M. Underwood, J. Mazela, J. Kaempf, M. Tomlinson, Y. Gollin, K. Fulford, Y. Goff, P. Wozniak, K. Baker, W. Rich, A. Morales, M. Varner, D. Poeltler, Y. Vaucher, J. Mercer, N. Finer, L. El Ghormli, M.M. Rice
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Abstract

(Am J Obstet Gynecol. 2023;228:217.e1–217.e14) Mortality rates among infants that need resuscitation after birth is high despite recent advancements in resuscitation technology. The potential consequences of the need for resuscitation include a host of neurological disorders and problems, which underscores the need for maximizing effectiveness of treatment to stabilize these infants. One method that has been shown to benefit newborns in the first few minutes after birth is delayed cord clamping; for infants who require resuscitation; however, this is typically foregone in favor of immediate efforts to help them breathe.
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无活力婴儿的脐带挤奶:分组随机交叉试验
(Am J Obstet Gynecol. 2023;228:217.e1-217.e14)尽管近年来复苏技术不断进步,但出生后需要复苏的婴儿死亡率仍然很高。需要复苏的潜在后果包括一系列神经系统疾病和问题,这突出表明需要最大限度地提高治疗效果,以稳定这些婴儿的病情。对于需要复苏的婴儿,通常会放弃这种方法,而是立即努力帮助他们呼吸。
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