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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.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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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