title: [Advantage of delayed umbilical cord clamping in the newborn infant].
abstract: The timing of umbilical cord clamping remains controversial. Although most maternity wards use the early clamping (5-15s), randomized studies and meta-analyses have demonstrated the benefit of delayed clamping for term and preterm newborn infants over the past 10 years. Indeed, placentofetal transfusion of 20-30 ml/kg in 2-3 min improves the iron status of term infants and prevents infant hypochromic anemia. Infant anemia is a public health problem in many developing countries. For preterm newborns, placental transfusion for 45 s or milking the cord for 15 s improves cardiovascular adaptation, with better hemodynamic stability, as well as decreased intraventricular hemorrhages, need for transfusion, and late-onset sepsis. A new look at this symbolic act is needed and professionals need to be persuaded of the importance of the "wait a minute" policy for a better physiological delivery.
authors.affiliation: Service de pédiatrie 2, CHRU Jean-Minjoz, 25000 Besançon, France. amenget@chu-besancon.fr
authors.forename: A
authors.initials: A
authors.lastname: Menget
authors.forename: C
authors.initials: C
authors.lastname: Mougey
authors.forename: G
authors.initials: G
authors.lastname: Thiriez
authors.forename: D
authors.initials: D
authors.lastname: Riethmuller
mesh_terms: D000223:Adaptation, Psychological; D000751:Anemia, Neonatal / Q000517:prevention & control; D001803:Blood Transfusion / Q000706:statistics & numerical data; D002320:Cardiovascular Physiological Phenomena; D002543:Cerebral Hemorrhage / Q000517:prevention & control; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature / Q000097:blood; D008026:Ligation / Q000592:standards; D021041:Placental Circulation / Q000502:physiology*; D011247:Pregnancy; D018805:Sepsis / Q000517:prevention & control; D013997:Time Factors; D014470:Umbilical Cord