{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T21:49:46Z","timestamp":1768513786813,"version":"3.49.0"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T00:00:00Z","timestamp":1762646400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T00:00:00Z","timestamp":1762646400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr"],"DOI":"10.1007\/s00431-025-06594-8","type":"journal-article","created":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T05:37:47Z","timestamp":1762666667000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility and early outcomes of intact cord resuscitation without special equipment in extremely preterm infants born at 23\u201325\u00a0weeks of gestation: A case series"],"prefix":"10.1007","volume":"184","author":[{"given":"Dogan","family":"Kaymaz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferhan","family":"Demirtas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deniz","family":"Uzun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasemin Ezgi","family":"Kostekci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emel","family":"Okulu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omer","family":"Erdeve","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatma Begum","family":"Atasay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saadet","family":"Arsan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,9]]},"reference":[{"issue":"4","key":"6594_CR1","doi-asserted-by":"publisher","first-page":"769","DOI":"10.1016\/j.clp.2012.09.009","volume":"39","author":"NH Hillman","year":"2012","unstructured":"Hillman NH, Kallapur SG, Jobe AH (2012) Physiology of transition from intrauterine to extrauterine life. Clin Perinatol 39(4):769\u2013783. https:\/\/doi.org\/10.1016\/j.clp.2012.09.009","journal-title":"Clin Perinatol"},{"key":"6594_CR2","unstructured":"World Health Organization (2014) Guideline: Delayed Umbilical Cord Clamping for Improved Maternal and Infant Health and Nutrition Outcomes. Geneva"},{"key":"6594_CR3","doi-asserted-by":"publisher","unstructured":"(2020) Delayed Umbilical Cord Clamping After Birth: ACOG Committee Opinion, Number 814. Obstet Gynecol 136 (6), pp. e100\u2013e106. https:\/\/doi.org\/10.1097\/AOG.0000000000004167","DOI":"10.1097\/AOG.0000000000004167"},{"issue":"2","key":"6594_CR4","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2021.101221","volume":"26","author":"M Bruckner","year":"2021","unstructured":"Bruckner M, Katheria AC, Schm\u00f6lzer GM (2021) Delayed cord clamping in healthy term infants: More harm or good? Semin Fetal Neonatal Med 26(2):101221. https:\/\/doi.org\/10.1016\/j.siny.2021.101221","journal-title":"Semin Fetal Neonatal Med"},{"issue":"24","key":"6594_CR5","doi-asserted-by":"publisher","first-page":"e580","DOI":"10.1161\/CIR.0000000000001288","volume":"150","author":"R Greif","year":"2024","unstructured":"Greif R et al (2024) 2024 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations: summary from the basic life support; advanced life support; pediatric life support; neonatal life support; education. Circulation 150(24):e580\u2013e687. https:\/\/doi.org\/10.1161\/CIR.0000000000001288","journal-title":"Circulation"},{"issue":"6","key":"6594_CR6","doi-asserted-by":"publisher","first-page":"716","DOI":"10.1515\/jpm-2025-0010","volume":"53","author":"M Mangla","year":"2025","unstructured":"Mangla M, Kanikaram PK, Bukke N, Kumar N, Singla D (2025) Standardizing cord clamping: bridging physiology and recommendations from leading societies. J Perinat Med 53(6):716\u2013726. https:\/\/doi.org\/10.1515\/jpm-2025-0010","journal-title":"J Perinat Med"},{"issue":"9","key":"6594_CR7","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003248.pub4","volume":"2019","author":"H Rabe","year":"2019","unstructured":"Rabe H, Gyte GML, D\u00edaz-Rossello JL, Duley L (2019) Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes. Cochrane Database Syst Rev (9):2019. https:\/\/doi.org\/10.1002\/14651858.CD003248.pub4","journal-title":"Cochrane Database Syst Rev"},{"issue":"10418","key":"6594_CR8","doi-asserted-by":"publisher","first-page":"2223","DOI":"10.1016\/S0140-6736(23)02469-8","volume":"402","author":"AL Seidler","year":"2023","unstructured":"Seidler AL et al (2023) Short, medium, and long deferral of umbilical cord clamping compared with umbilical cord milking and immediate clamping at preterm birth: a systematic review and network meta-analysis with individual participant data. Lancet 402(10418):2223\u20132234. https:\/\/doi.org\/10.1016\/S0140-6736(23)02469-8","journal-title":"Lancet"},{"issue":"10418","key":"6594_CR9","doi-asserted-by":"publisher","first-page":"2209","DOI":"10.1016\/S0140-6736(23)02468-6","volume":"402","author":"AL Seidler","year":"2023","unstructured":"Seidler AL et al (2023) Deferred cord clamping, cord milking, and immediate cord clamping at preterm birth: a systematic review and individual participant data meta-analysis. Lancet 402(10418):2209\u20132222. https:\/\/doi.org\/10.1016\/S0140-6736(23)02468-6","journal-title":"Lancet"},{"issue":"12","key":"6594_CR10","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.50476","volume":"7","author":"S Pratesi","year":"2024","unstructured":"Pratesi S et al (2024) Resuscitation with placental circulation intact compared with cord milking: a randomized clinical trial. JAMA Netw Open 7(12):e2450476. https:\/\/doi.org\/10.1001\/jamanetworkopen.2024.50476","journal-title":"JAMA Netw Open"},{"issue":"19","key":"6594_CR11","doi-asserted-by":"publisher","first-page":"1877","DOI":"10.1001\/jama.2019.16004","volume":"322","author":"A Katheria","year":"2019","unstructured":"Katheria A et al (2019) Association of umbilical cord milking vs delayed umbilical cord clamping with death or severe intraventricular hemorrhage among preterm infants. JAMA 322(19):1877\u20131886. https:\/\/doi.org\/10.1001\/jama.2019.16004","journal-title":"JAMA"},{"issue":"8","key":"6594_CR12","doi-asserted-by":"publisher","first-page":"2113","DOI":"10.1113\/jphysiol.2012.250084","volume":"591","author":"S Bhatt","year":"2013","unstructured":"Bhatt S et al (2013) Delaying cord clamping until ventilation onset improves cardiovascular function at birth in preterm lambs. J Physiol 591(8):2113\u20132126. https:\/\/doi.org\/10.1113\/jphysiol.2012.250084","journal-title":"J Physiol"},{"key":"6594_CR13","doi-asserted-by":"publisher","unstructured":"Le Duc K et al (2021) Changes in umbilico-placental circulation during prolonged intact cord resuscitation in a lamb model. Children (Basel). https:\/\/doi.org\/10.3390\/children8050337","DOI":"10.3390\/children8050337"},{"key":"6594_CR14","doi-asserted-by":"publisher","unstructured":"Polglase GR et al (2015) Ventilation onset prior to umbilical cord clamping (physiological-based cord clamping) improves systemic and cerebral oxygenation in preterm lambs. PLoS One 10(2):e0117504. https:\/\/doi.org\/10.1371\/journal.pone.0117504","DOI":"10.1371\/journal.pone.0117504"},{"issue":"5","key":"6594_CR15","doi-asserted-by":"publisher","first-page":"1481","DOI":"10.1038\/s41390-024-03496-7","volume":"97","author":"GS Major","year":"2025","unstructured":"Major GS et al (2025) Umbilical cord management in newborn resuscitation: a systematic review and meta-analysis. Pediatr Res 97(5):1481\u20131491. https:\/\/doi.org\/10.1038\/s41390-024-03496-7","journal-title":"Pediatr Res"},{"key":"6594_CR16","unstructured":"\u00c7izmeci MN, Ak\u0131n MA, \u00d6zek E (2021) Germinal Matriks Kanamas\u0131 \u2013 \u0130ntraventrik\u00fcler Kanama ve Komplikasyonlar\u0131n\u0131n Tan\u0131 ve Y\u00f6netimi Rehberi. https:\/\/neonatology.org.tr\/uploads\/content\/tan\u0131-tedavi\/8.pdf"},{"key":"6594_CR17","doi-asserted-by":"publisher","unstructured":"Inder TE, Perlman JM, Volpe JJ (2018) Chapter 24 - Preterm Intraventricular Hemorrhage\/Posthemorrhagic Hydrocephalus,\u201d in Volpe\u2019s Neurology of the Newborn (Sixth Edition), J. J. Volpe, T. E. Inder, B. T. Darras, L. S. de Vries, A. J. du Plessis, J. J. Neil, and J. M. Perlman, Eds., Sixth Edit.Elsevierpp. 637\u2013698.e21. https:\/\/doi.org\/10.1016\/B978-0-323-42876-7.00024-7","DOI":"10.1016\/B978-0-323-42876-7.00024-7"},{"issue":"1","key":"6594_CR18","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1159\/000528914","volume":"120","author":"DG Sweet","year":"2023","unstructured":"Sweet DG et al (2023) European consensus guidelines on the management of respiratory distress syndrome: 2022 update. Neonatology 120(1):3\u201323. https:\/\/doi.org\/10.1159\/000528914","journal-title":"Neonatology"},{"key":"6594_CR19","doi-asserted-by":"publisher","first-page":"S101","DOI":"10.5152\/TurkPediatriArs.2018.01810","volume":"53","author":"M \u00c7etinkaya","year":"2018","unstructured":"\u00c7etinkaya M, Atasay B, Perk Y (2018) Turkish neonatal society guideline on the transfusion principles in newborns. Turk Pediatr Ars 53:S101\u2013S108. https:\/\/doi.org\/10.5152\/TurkPediatriArs.2018.01810","journal-title":"Turk Pediatr Ars"},{"key":"6594_CR20","unstructured":"World Health Organization (1997) Thermal protection of the newborn: a practical guide. https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/7c2cec2e-a558-4c1f-aad4-143860f6fcaf\/content"},{"key":"6594_CR21","unstructured":"Oyg\u00fcr N, \u00d6nal E, Zenciro\u011flu A (2021) Do\u011fum Salonu Y\u00f6netimi Rehberi 2021 G\u00fcncellemesi. T\u00fcrk Neonatoloji Derne\u011fi. https:\/\/neonatology.org.tr\/uploads\/content\/tan\u0131-tedavi\/dogum_salonu.pdf"},{"issue":"8","key":"6594_CR22","doi-asserted-by":"publisher","first-page":"1663","DOI":"10.1113\/JP286492","volume":"602","author":"A Katheria","year":"2024","unstructured":"Katheria A, Lakshminrusimha S (2024) How long is too long? No added benefit with prolonged ventilation with intact cord in preterm infants. J Physiol 602(8):1663\u20131664. https:\/\/doi.org\/10.1113\/JP286492","journal-title":"J Physiol"},{"key":"6594_CR23","doi-asserted-by":"publisher","unstructured":"Mp M, Lakshminrusimha S, Ac K (2025) Respiratory support prior to cord clamping in very preterm infants\u202f: a narrative review with pooled results from recent studies. pp. 1\u201316. https:\/\/doi.org\/10.1159\/000548051","DOI":"10.1159\/000548051"},{"key":"6594_CR24","doi-asserted-by":"publisher","DOI":"10.1186\/s40748-019-0103-y","volume":"5","author":"A Kc","year":"2019","unstructured":"Kc A, Singhal N, Gautam J, Rana N, Andersson O (2019) Effect of early versus delayed cord clamping in neonate on heart rate, breathing and oxygen saturation during first 10 minutes of birth - randomized clinical trial. Matern Health Neonatol Perinatol 5:7. https:\/\/doi.org\/10.1186\/s40748-019-0103-y","journal-title":"Matern Health Neonatol Perinatol"},{"key":"6594_CR25","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1016\/j.jpeds.2022.08.061","volume":"254","author":"JS Raina","year":"2023","unstructured":"Raina JS, Chawla D, Jain S, Khurana S, Sehgal A, Rani S (2023) Resuscitation with intact cord versus clamped cord in late preterm and term neonates: a randomized controlled trial. J Pediatr 254:54-60.e4. https:\/\/doi.org\/10.1016\/j.jpeds.2022.08.061","journal-title":"J Pediatr"},{"key":"6594_CR26","doi-asserted-by":"publisher","DOI":"10.1186\/s40748-019-0110-z","volume":"5","author":"O Andersson","year":"2019","unstructured":"Andersson O et al (2019) Intact cord resuscitation versus early cord clamping in the treatment of depressed newborn infants during the first 10 minutes of birth (Nepcord III) - a randomized clinical trial. Matern Health Neonatol Perinatol 5:15. https:\/\/doi.org\/10.1186\/s40748-019-0110-z","journal-title":"Matern Health Neonatol Perinatol"},{"key":"6594_CR27","doi-asserted-by":"publisher","first-page":"101146","DOI":"10.1016\/j.lanepe.2024.101146","volume":"48","author":"R Knol","year":"2024","unstructured":"Knol R et al (2024) Physiological versus time based cord clamping in very preterm infants (ABC3): a parallel-group, multicentre, randomised, controlled superiority trial. Lancet Reg Heal Eur 48:101146. https:\/\/doi.org\/10.1016\/j.lanepe.2024.101146","journal-title":"Lancet Reg Heal Eur"},{"issue":"3","key":"6594_CR28","doi-asserted-by":"publisher","first-page":"1105","DOI":"10.1007\/s00431-022-04776-2","volume":"182","author":"C Hocq","year":"2023","unstructured":"Hocq C et al (2023) Implementing intact cord resuscitation in very preterm infants: feasibility and pitfalls. Eur J Pediatr 182(3):1105\u20131113. https:\/\/doi.org\/10.1007\/s00431-022-04776-2","journal-title":"Eur J Pediatr"},{"key":"6594_CR29","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1016\/j.jpeds.2018.12.039","volume":"208","author":"D Finn","year":"2019","unstructured":"Finn D et al (2019) Clamping the umbilical cord in premature deliveries (CUPiD): neuromonitoring in the Immediate newborn period in a randomized, controlled Trial of preterm Infants Born at <32\u00a0weeks of gestation. J Pediatr 208:121-126.e2. https:\/\/doi.org\/10.1016\/j.jpeds.2018.12.039","journal-title":"J Pediatr"},{"key":"6594_CR30","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1016\/j.resuscitation.2019.12.007","volume":"147","author":"R Knol","year":"2020","unstructured":"Knol R et al (2020) Physiological-based cord clamping in very preterm infants - Randomised controlled trial on effectiveness of stabilisation. Resuscitation 147:26\u201333. https:\/\/doi.org\/10.1016\/j.resuscitation.2019.12.007","journal-title":"Resuscitation"},{"key":"6594_CR31","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/j.jpeds.2016.07.053","volume":"178","author":"A Katheria","year":"2016","unstructured":"Katheria A et al (2016) Neonatal resuscitation with an intact cord: a randomized clinical trial. J Pediatr 178:75\u201380.e3. https:\/\/doi.org\/10.1016\/j.jpeds.2016.07.053","journal-title":"J Pediatr"},{"issue":"5","key":"6594_CR32","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.11140","volume":"7","author":"KD Fairchild","year":"2024","unstructured":"Fairchild KD et al (2024) Ventilatory assistance before umbilical cord clamping in extremely preterm infants: a randomized clinical trial. JAMA Netw Open 7(5):e2411140. https:\/\/doi.org\/10.1001\/jamanetworkopen.2024.11140","journal-title":"JAMA Netw Open"},{"issue":"1","key":"6594_CR33","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-020-02221-7","volume":"20","author":"Y-H Yu","year":"2020","unstructured":"Yu Y-H et al (2020) Association between admission hypothermia and outcomes in very low birth weight infants in China: a multicentre prospective study. BMC Pediatr 20(1):321. https:\/\/doi.org\/10.1186\/s12887-020-02221-7","journal-title":"BMC Pediatr"},{"issue":"10","key":"6594_CR34","doi-asserted-by":"publisher","first-page":"386","DOI":"10.3345\/kjp.2019.00206","volume":"62","author":"NH Lee","year":"2019","unstructured":"Lee NH, Nam SK, Lee J, Jun YH (2019) Clinical impact of admission hypothermia in very low birth weight infants: results from Korean neonatal network. Korean J Pediatr 62(10):386\u2013394. https:\/\/doi.org\/10.3345\/kjp.2019.00206","journal-title":"Korean J Pediatr"},{"key":"6594_CR35","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1016\/j.jpeds.2022.09.025","volume":"253","author":"E Nevill","year":"2023","unstructured":"Nevill E, Mildenhall LFJ, Meyer MP (2023) Effect of breathing support in very preterm infants not breathing during deferred cord clamping: a randomized controlled trial (the ABC study). J Pediatr 253:94-100.e1. https:\/\/doi.org\/10.1016\/j.jpeds.2022.09.025","journal-title":"J Pediatr"},{"issue":"6","key":"6594_CR36","doi-asserted-by":"publisher","first-page":"e1865","DOI":"10.1542\/peds.2012-2779","volume":"131","author":"B Batton","year":"2013","unstructured":"Batton B et al (2013) Use of antihypotensive therapies in extremely preterm infants. Pediatrics 131(6):e1865\u2013e1873. https:\/\/doi.org\/10.1542\/peds.2012-2779","journal-title":"Pediatrics"},{"issue":"1","key":"6594_CR37","doi-asserted-by":"publisher","first-page":"F6","DOI":"10.1136\/archdischild-2016-312567","volume":"103","author":"L Duley","year":"2018","unstructured":"Duley L et al (2018) Randomised trial of cord clamping and initial stabilisation at very preterm birth. Arch Dis Child Fetal Neonatal Ed 103(1):F6\u2013F14. https:\/\/doi.org\/10.1136\/archdischild-2016-312567","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"key":"6594_CR38","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.843372","volume":"10","author":"R Deng","year":"2022","unstructured":"Deng R et al (2022) With or without nasal continuous positive airway pressure during delayed cord clamping in premature infants <32 weeks: a randomized controlled trial using an intention-to-treat analysis. Front Pediatr 10:843372. https:\/\/doi.org\/10.3389\/fped.2022.843372","journal-title":"Front Pediatr"},{"key":"6594_CR39","doi-asserted-by":"publisher","unstructured":"Andersen LW et al (2021) International consensus on cardiopulmonary resuscitation and emergency cardiovascular care. 2022. https:\/\/doi.org\/10.1161\/CIR.0000000000001017","DOI":"10.1161\/CIR.0000000000001017"}],"container-title":["European Journal of Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00431-025-06594-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00431-025-06594-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00431-025-06594-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T06:42:25Z","timestamp":1768459345000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00431-025-06594-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,9]]},"references-count":39,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["6594"],"URL":"https:\/\/doi.org\/10.1007\/s00431-025-06594-8","relation":{},"ISSN":["1432-1076"],"issn-type":[{"value":"1432-1076","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,9]]},"assertion":[{"value":"2 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 October 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 October 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 November 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Approval was obtained from the ethics committee of Ankara University Faculty of Medicine. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"741"}}