60 seconds to save thousands of preterm babies' lives
Wednesday, 08 November, 2017
A simple 60-second wait before clamping a preterm baby鈥檚 umbilical cord could save the lives of thousands of preterm babies, according to two new Australian-led studies.
鈥淲e estimate that for every thousand very preterm babies born more than 10 weeks early, delayed clamping will save up to 100 additional lives compared with immediate clamping,鈥 said the University of Sydney鈥檚 Associate Professor David Osborn, the review鈥檚 lead author and a neonatal specialist at Royal Prince Alfred 黑料吃瓜群网.
鈥淭his means that, worldwide, using delayed clamping instead of immediate clamping can be expected to save between 11,000 and 100,000 additional lives every year.鈥
The results are from two international studies supported by hundreds of parents and professionals worldwide and coordinated by the , Sydney.
Approved for publishing in the , the review, led by researchers, assessed morbidity and mortality outcomes from 18 trials comparing delayed versus immediate cord clamping in nearly 3000 babies born before 37 weeks鈥 gestation. It found clear evidence that delayed clamping reduced hospital mortality by a third and is safe for mothers and preterm infants.
The review also reported that delayed clamping reduced subsequent blood transfusions and increased neonatal hematocrit, confirming that placental transfusion occurred.
鈥淭he review shows for the first time that simply clamping the cord 60 seconds after birth improves survival,鈥 said the University of Sydney鈥檚 Professor William Tarnow-Mordi, senior author.
鈥淚t confirms international guidelines recommending delayed clamping in all preterm babies who do not need immediate resuscitation.鈥
The systematic review confirms new findings from the, published this week in the , reporting that delayed clamping might reduce mortality before 36 weeks 鈥 tentative evidence that required confirmation by an updated review of all relevant trials.
鈥淭his is so significant as it is such a simple technique, suitable for almost all preterm babies, that helps saves lives,鈥 said University of Sydney鈥檚 Professor Jonathan Morris, co-author of the Australian Placental Transfusion Study.
Information for parents
Parents who want to know more are encouraged to visit the NHMRC Clinical Trials Centre website at or Miracle Babies Foundation at for frequently asked questions about the Australian Placental Transfusion Study. Parents in Australia who need support can contact the Miracle Babies Foundation 24-hour helpline at 1300 622 243.
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