title: Placental Transfusion Strategies in Italy: A Nationwide Survey of Tertiary-Care Delivery Wards.
abstract: ObjectiveDelayed umbilical cord clamping and cord milking are placental transfusion strategies that produce higher iron stores and better hemodynamic conditions in a newborn. We aimed to evaluate their current practice in tertiary-care delivery wards in Italy.Study DesignA multiple-choice questionnaire was e-mailed to all the 101 Italian tertiary-care delivery wards. The comparative analysis between categorical variables was performed by the χ2test.ResultWe obtained an 85% (86/101) response rate. Where placental transfusion strategies were applied, in 61% of cases they were performed in less than half of deliveries. Obstetric-neonatal guidelines were available in 21% of the centers. Where they were available, application of delayed clamping and milking was significantly more frequent and clamping time was longer.ConclusionThis first Italian nationwide survey on placental transfusion strategies showed low application rate and variability in knowledge and execution. Availability of obstetric-neonatal guidelines, knowledge of benefits, and cooperation within the delivery team were associated with enhanced implementation.
authors.affiliation: Division of Neonatology and Neonatal Intensive Care Unit, "G. Salesi" Children's Hospital, Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona, Ancona, Italy.
authors.forename: Barbara
authors.initials: B
authors.lastname: Perrone
authors.affiliation: Neonatal Intensive Care Unit, Department of Clinical Sciences and Community Health, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milano, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Ghirardello
mesh_terms: D001803:Blood Transfusion / Q000379:methods / Q000706:statistics & numerical data*; D003250:Constriction; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007558:Italy; D018743:Perinatal Care / Q000458:organization & administration / Q000592:standards*; D021041:Placental Circulation; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011795:Surveys and Questionnaires; D013997:Time Factors; D014470:Umbilical Cord / Q000098:blood supply* / Q000601:surgery