Featured articles: Benefits and risks of delayed cord clamping following delivery by cesarean section.
Increased intrauterine pressure from uterine contractions during labor promotes placental transfusion in spontaneous vaginal deliveries. An atonic uterus and presence of an uterine incision reduces build-up of intrauterine pressure raising questions regarding placental transfusion following cesarean section. In this issue of MHNP, Chantry et al observed in a pilot study that delayed cord clamping was associated with lower estimated maternal blood loss, lesser need for maternal post-op transfusions and lower incidence of neonatal anemia. However, increased heat loss and neonatal cold stress were also observed. Also, refer to McAdams et al as to why delayed cord clamping should be considered the standard and early cord clamping as the experimental approach in studies evaluating placental transfusion.
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