0
Article |

Placental Transfusion: A Clinical and Physiological Study

HAROLD E. FOX, MD
Am J Dis Child. 1983;137(6):607. doi:10.1001/archpedi.1983.02140320083029.
Text Size: A A A
Published online

ABSTRACT

The issue of timing of cord clamping at birth is presented in depth in this book. Physiologic literature is reviewed and errors and limitations in technique are presented and discussed. The authors begin with an adequate discussion of methods and limitations of technique and proceed to an in-depth discussion of mechanism of placental transfusion.

In logical sequence, the authors then describe neonatal blood volume adjustments in the first hours of life. The impact of placental transfusion of varying volumes of blood on neonatal homeostasis are described in detail, including respiratory adaptation and hyperbilirubinemia.

Placental transfusion and perinatal complications are described, including cesarean birth, perinatal asphyxia, diabetes mellitus, and Rh hemolytic disease. The text concludes with physiologically based recommendations regarding the timing of umbilical cord clamping at birth. In uncomplicated births, cord clamping at 10 to 30 s after the delivery of the infant's buttocks, with the infant 10 cm below

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();