If you are a doctor, medical student, or medical personnel, you would be interested. For the sake of reading, I will bring out excerpts of the article for easier reading. OB/GYN people should pay huge concerns over such practice. ;) 如果你是醫師、醫學生、或醫療人員，我想您會有興趣。為了閱讀方便，我已經擷取了一些片段，以便重點整理。婦產科醫師也可以參考，並且瞭解這篇文張喔！ ;) For the Taiwanese people, a photo will be posted later as a SUMMARY for easier understanding in Mandarin. 台灣民眾別擔憂，晚點會上傳一張重點整理照片，好讓各位更快瞭解這堆英文裡頭想講啥！ ========= New analysis has found that delaying clamping for at least a minute after birth, which allows more time for blood to move from the placenta, significantly improves iron stores and hemoglobin levels in newborns and does not increase the risks to mothers. The new paper, published on Wednesday in The Cochrane Database of Systematic Reviews, may change minds, though perhaps not immediately. “I suspect we’ll have more and more delayed cord clamping,” said Dr. Jeffrey Ecker, the chair of committee on obstetrics practice for the American College of Obstetricians and Gynecologists. Newborns with later clamping had higher hemoglobin levels 24 to 48 hours postpartum and were less likely to be iron-deficient three to six months after birth, compared with term babies who had early cord clamping, the analysis found. Birth weight also was significantly higher on average in the late clamping group, in part because babies received more blood from their mothers. Delayed clamping did not increase the risk of severe postpartum hemorrhage, blood loss or reduced hemoglobin levels in mothers, the analysis found. The new report assessed data from 15 randomized trials involving 3,911 women and infant pairs. Eileen Hutton, a midwife who teaches obstetrics at McMaster University in Ontario and published a systematic review on cord clamping, called the report “comprehensive and well done” but said she felt the conclusion was “weakly worded,” considering the sum of evidence on the benefits of delayed cord clamping for neonates. American doctors hesitate to recommend delaying cord clamping universally, Dr. Raju said, because there can be situations in which early clamping is required — if an infant requires resuscitation, for example, or aspirates meconium, or infant stool. Dr. McDonald acknowledged that the review did not include data on the long-term neurological outcomes for babies. “What will sway A.C.O.G. are a couple of studies in progress showing a potential long-term neurological benefit,” Dr. Raju said. Improved iron stores in theory could help reduce the risk of learning deficiencies and cognitive delay in children, which have been linked to iron-deficiency anemia in school-age children.
Posted on: Thu, 11 Jul 2013 08:44:59 +0000
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