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Increased risk of b...
Increased risk of bradycardia in vigorous infants receiving early as compared to delayed cord clamping at birth
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- KC, Ashish, 1982- (author)
- Uppsala universitet,SWEDESD - Centrum för forskning och utbildning om lärande för hållbar utveckling
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- Kong, So Yeon Joyce (author)
- Laerdal Med, Stavanger, Norway.
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- Haukås Haaland, Solveig (author)
- Laerdal Med, Stavanger, Norway.
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- Eilevstjønn, Joar (author)
- Laerdal Med, Stavanger, Norway.
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- Myklebust, Helge (author)
- Laerdal Med, Stavanger, Norway.
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- Bastola, Ram Chandra (author)
- Pokhara Acad Hlth Sci, Pokhara, Nepal.
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- Wood, Thomas Ragnar (author)
- Univ Washington, Ctr Human Dev & Disabil, Seattle, WA USA.
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- Niermeyer, Susan (author)
- Univ Colorado, Colorado Sch Publ Hlth, Sch Med, Aurora, CO USA.
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- Berkelhamer, Sara (author)
- Univ Washington, Dept Pediat, Seattle, WA USA.
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(creator_code:org_t)
- 2022-12-31
- 2023
- English.
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In: Journal of Perinatology. - : Springer Nature. - 0743-8346 .- 1476-5543. ; 43, s. 709-715
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Abstract
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- ObjectiveTo compare HR pattern of vigorous newborns during the first 180 s with early (≤60 s, ECC) or delayed (>60 s, DCC) cord clamping.Study designObservational study including dry-electrode ECG monitoring of 610 vaginally-born singleton term and late-preterm (≥34 weeks) who were vigorous after birth.Results198 received ECC while 412 received DCC with median cord clamping at 37 s and 94 s. Median HR remained stable from 30 to 180 s with DCC (172 and 170 bpm respectively) but increased with ECC (169 and 184 bpm). The proportion with bradycardia was higher among ECC than DCC at 30 s and fell faster in the DCC through 60 s. After adjusting for factors affecting timing of cord clamping, ECC had significant risk of bradycardia compared to DCC (aRR 1.51; 95% CI; 1.01–2.26).ConclusionEarly heart instability and higher risk of bradycardia with ECC as compared to DCC supports the recommended clinical practice of DCC.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
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KC, Ashish, 1982 ...
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Kong, So Yeon Jo ...
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Haukås Haaland, ...
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Eilevstjønn, Joa ...
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Myklebust, Helge
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Bastola, Ram Cha ...
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show more...
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Wood, Thomas Rag ...
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Niermeyer, Susan
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Berkelhamer, Sar ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Pediatrics
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
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Journal of Perin ...
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Uppsala University