Oxygenation associated with cord management strategies among preterm infants <32 weeks gestation during the transition period

IF 2.4 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Journal of Perinatology Pub Date : 2024-10-11 DOI:10.1038/s41372-024-02127-7
Catherine Peterson, Lucia Ferrer, Shashank Sanjay, Debra Poeltler, Satyan Lakshminrusimha, Anup C. Katheria
{"title":"Oxygenation associated with cord management strategies among preterm infants <32 weeks gestation during the transition period","authors":"Catherine Peterson,&nbsp;Lucia Ferrer,&nbsp;Shashank Sanjay,&nbsp;Debra Poeltler,&nbsp;Satyan Lakshminrusimha,&nbsp;Anup C. Katheria","doi":"10.1038/s41372-024-02127-7","DOIUrl":null,"url":null,"abstract":"Compare changes in SpO2 and FiO2 post-birth among preterm infants after delayed cord clamping (DCC), umbilical cord milking (UCM) or early cord clamping (ECC). Retrospective study of infants &lt;32 weeks gestation born between 2014 and 2021. ECC was clamping 0–59 s, DCC was clamping ≥60 s after delivery, UCM defined as milking the intact umbilical cord several times before clamping. Of 463 infants; 257 received DCC, 168 received UCM, 38 received ECC. UCM infants had higher median SpO2 values at 4-(79% UCM vs 69% DCC, p = 0.027) and 5-(85% UCM vs 80% DCC, p = 0.023) minutes after-birth compared to DCC. DCC and UCM infants required lower FiO2 levels in the first 5-minutes compared to ECC infants (DCC 0.38 ± 0.17, UCM 0.40 ± 0.20 vs ECC 0.51 ± 0.27, p’s &lt;0.001). The proportion of infants achieving SpO2 ≥ 80% by 5 min was similar in all groups, FiO2 needed to achieve this goal was higher in ECC infants.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":"45 1","pages":"55-62"},"PeriodicalIF":2.4000,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Perinatology","FirstCategoryId":"3","ListUrlMain":"https://www.nature.com/articles/s41372-024-02127-7","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Compare changes in SpO2 and FiO2 post-birth among preterm infants after delayed cord clamping (DCC), umbilical cord milking (UCM) or early cord clamping (ECC). Retrospective study of infants <32 weeks gestation born between 2014 and 2021. ECC was clamping 0–59 s, DCC was clamping ≥60 s after delivery, UCM defined as milking the intact umbilical cord several times before clamping. Of 463 infants; 257 received DCC, 168 received UCM, 38 received ECC. UCM infants had higher median SpO2 values at 4-(79% UCM vs 69% DCC, p = 0.027) and 5-(85% UCM vs 80% DCC, p = 0.023) minutes after-birth compared to DCC. DCC and UCM infants required lower FiO2 levels in the first 5-minutes compared to ECC infants (DCC 0.38 ± 0.17, UCM 0.40 ± 0.20 vs ECC 0.51 ± 0.27, p’s <0.001). The proportion of infants achieving SpO2 ≥ 80% by 5 min was similar in all groups, FiO2 needed to achieve this goal was higher in ECC infants.

Abstract Image

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
妊娠期小于 32 周的早产儿在过渡期的脐带管理策略与吸氧有关。
目的比较早产儿在延迟脐带夹闭(DCC)、脐带挤奶(UCM)或早期脐带夹闭(ECC)后 SpO2 和 FiO2 的变化:研究设计:对婴儿进行回顾性研究 结果:463 名婴儿中,257 名接受了延迟脐带夹闭(DCC)、脐带挤奶(UCM)或早期脐带夹闭(ECC):在 463 名婴儿中,257 名接受了 DCC,168 名接受了 UCM,38 名接受了 ECC。与 DCC 相比,UCM 婴儿在出生后 4- 分钟(UCM 79% vs DCC 69%,p = 0.027)和 5- 分钟(UCM 85% vs DCC 80%,p = 0.023)的 SpO2 中位值更高。与 ECC 婴儿相比,DCC 和 UCM 婴儿在最初 5 分钟内所需的 FiO2 水平较低(DCC 0.38 ± 0.17,UCM 0.40 ± 0.20 vs ECC 0.51 ± 0.27,P's 结论:所有组别在 5 分钟内达到 SpO2 ≥ 80% 的婴儿比例相似,但 ECC 婴儿达到这一目标所需的 FiO2 更高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Journal of Perinatology
Journal of Perinatology 医学-妇产科学
CiteScore
5.40
自引率
6.90%
发文量
284
审稿时长
3-8 weeks
期刊介绍: The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.
期刊最新文献
It's the little things. A framework and guidance for programs to care for infants 22-23 weeks' gestational age. Does ventilatory assistance before umbilical cord clamping reduce the risk of early death or intraventricular hemorrhage in extremely preterm infants? Electrical impedance tomography imaging of ventilation and perfusion in bronchopulmonary dysplasia. A prospective randomized pilot trial comparing weekly vs. biweekly Darbepoetin administration to preterm infants. Diagnostic evaluation to identify infection-attributable stillbirth.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1