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Benefits for term neonates include higher hemoglobin levels, less iron deficiency in infancy, improved myelination out to 12\u00a0months, and better motor and social development at 4\u00a0years of age especially in boys. For preterm infants, benefits include less intraventricular hemorrhage, fewer gastrointestinal issues, lower transfusion requirements, and less mortality in the neonatal intensive care unit by 30%. Ventilation before clamping the umbilical cord can reduce large swings in cardiovascular function and help to stabilize the neonate. Hypovolemia, often associated with nuchal cord or shoulder dystocia, may lead to an inflammatory cascade and subsequent ischemic injury. A sudden unexpected neonatal asystole at birth may occur from severe hypovolemia. The restoration of blood volume is an important action to protect the hearts and brains of neonates. Currently, protocols for resuscitation call for ICC. However, receiving an adequate blood volume via placental transfusion may be protective for distressed neonates as it prevents hypovolemia and supports optimal perfusion to all organs. Bringing the resuscitation to the mother\u2019s bedside is a novel concept and supports an intact umbilical cord. When one cannot wait, cord milking several times can be done quickly within the resuscitation guidelines. Cord blood gases can be collected with optimal cord management.\u00a0<\/jats:p><jats:p>\u00a0<jats:italic> Conclusion<\/jats:italic>:\u00a0Adopting a policy for resuscitation with an intact cord in a hospital setting takes a coordinated effort and requires teamwork by obstetrics, pediatrics, midwifery, and nursing.<\/jats:p><jats:p><jats:table-wrap><jats:table><jats:tbody>\n                    <jats:tr>\n                      <jats:td colspan=\"2\"><jats:bold>What is Known:<\/jats:bold><jats:italic>\u2022 Placental transfusion through optimal cord management benefits morbidity and mortality of newborn infants.<\/jats:italic><jats:italic>\u2022 The World Health Organisation has recommended placental transfusion in their guidance.<\/jats:italic><\/jats:td>\n                    <\/jats:tr>\n                    <jats:tr>\n                      <jats:td colspan=\"2\"><jats:bold>What is New:<\/jats:bold><jats:italic>\u2022 Improved understanding of transitioning to extrauterine life has been described.<\/jats:italic><jats:italic>\u2022 Resuscitation of newborn infants whilst the umbilical cord remains intact could improve the postpartum adaptation.<\/jats:italic><\/jats:td>\n                    <\/jats:tr>\n                  <\/jats:tbody><\/jats:table><\/jats:table-wrap><\/jats:p>","DOI":"10.1007\/s00431-022-04395-x","type":"journal-article","created":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T21:02:42Z","timestamp":1643835762000},"page":"1797-1807","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["What does the evidence tell us? 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