In a message dated 3/13/2008 5:35:26 P.M. Pacific Daylight Time,  
[log in to unmask] writes:

We know  that for premature babies, it is a good idea to give them the  entire
placental transfusion, as they run into serious problems trying to  perfuse
the pulmonary capillary bed if they are deprived of this extra  volume due to
too early clamping of the  cord. 
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Not necessarily - we usually cannot wait at all to begin resuscitation, and  
if you allow a large volume to transfer to the baby, you risk causing an IVH  
(intraventricular hemorrhage) in the VLBW infants.  Resuscitating an infant  
still attached to the placenta (and the mother) is called the EXIT Procedure,  
and is only done when we cannot be assured of achieving an airway (ie. mouth 
or  neck tumor), with an ENT surgeon in the room, etc.   

Nancy
Nancy E. Wight MD, IBCLC, FABM,  FAAP
Neonatologist
Sharp Mary Birch Hospital for Women and Rady Children's  Hospital San Diego
Medical Director, Sharp HealthCare Lactation  Services
San Diego, CA  
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