Optimizing Placental Transfusion for Preterm Infants.

Placental Transfusion and Cardiovascular Instability in the Preterm Infant

Postnatal adaptation in preterm newborn comprises complex physiological processes that involve significant changes in the circulatory and respiratory system. Increasing hemoglobin level and blood volume following placental transfusion may be of importance in enhancing arterial oxygen content, increasing cardiac output, and improving oxygen delivery. The European consensus on resuscitation of pr...

Effects of placental transfusion in extremely low birthweight infants: meta-analysis of long- and short-term outcomes.

BACKGROUND Risks and benefits of increasing placental transfusion in extremely preterm infants (extremely low birthweight [ELBW], <1000 g) are ill defined. We performed a meta-analysis to compare long- and short-term outcomes of ELBW infants in trials of enhanced placental transfusion regimens. STUDY DESIGN AND METHODS We conducted a meta-analysis of randomized controlled trials (RCTs) of del...

Association between Red Blood Cell Transfusion and Bronchopulmonary Dysplasia in Preterm Infants

Anemia and the need for transfusion of packed red blood cells (PRBCs) are common in preterm infants. PRBC transfusion increases the oxygen carrying capacity of hemoglobin and may result in higher rates of organ dysfunction. To determine whether PRBC transfusion in preterm infants is associated with an increased incidence of bronchopulmonary dysplasia (BPD), this retrospective study was performe...

Placental Transfusion Improves Iron Stores at 6 Weeks of Age in Late Preterm Infants.

Placental transfusion and hyperbilirubinemia in the premature.

Placental transfusion has been cornpared in premature and full-term infants. Blood volume measurements showed that the 5-minute transfusion was similar in full-term and premature infants (47% and 50% increase in blood volume from birth) . A larger proportion of the 5-minute transfusion occurred by 1 minute in full-term ( 76%) than in premature infants (56%). Placental transfusion, by increasing...