{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T22:27:01Z","timestamp":1773786421341,"version":"3.50.1"},"reference-count":38,"publisher":"Georg Thieme Verlag KG","issue":"16","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:p>\n            Objective\u2003Well-appearing late preterm infants admitted to a mother baby unit may benefit from either delayed cord clamping (DCC) or umbilical cord milking (UCM). However, there are concerns of adverse effects of increased blood volume such as polycythemia and hyperbilirubinemia. The purpose of this study is to examine the short-term effects of placental transfusion on late preterm infants born between 350\/7 and 366\/7 weeks of gestation.<\/jats:p><jats:p>\n            Study Design\u2003In this pre- and postimplementation retrospective cohort study, we compared late preterm infants who received placental transfusion (161 infants, DCC\/UCM group) during a 2-year period after guideline implementation (postimplementation period: August 1, 2017, to July 31, 2019) to infants who had immediate cord clamping (118 infants, ICC group) born during a 2-year period before implementation (preimplementation period: August 1, 2015, to July 31, 2017).<\/jats:p><jats:p>\n            Results\u2003The mean hematocrit after birth was significantly higher in the DCC\/UCM group. Fewer infants had a hematocrit &lt;40% after birth in the DCC\/UCM group compared with the ICC group. The incidence of hyperbilirubinemia needing phototherapy, neonatal intensive care unit (NICU) admissions, or readmissions to the hospital for phototherapy was similar between the groups. Fewer infants in the DCC\/UCM group were admitted to the NICU primarily for respiratory distress. Symptomatic polycythemia did not occur in either group. Median hospital length of stay was 3 days for both groups.<\/jats:p><jats:p>\n            Conclusion\u2003Placental transfusion (DCC or UCM) in late preterm infants admitted to a mother baby unit was not associated with increased incidence of hyperbilirubinemia needing phototherapy, symptomatic polycythemia, NICU admissions, or readmissions to the hospital for phototherapy.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0041-1726387","type":"journal-article","created":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T07:33:55Z","timestamp":1615880035000},"page":"1812-1819","source":"Crossref","is-referenced-by-count":3,"title":["Effects of Placental Transfusion on Late Preterm Infants Admitted to a Mother\u2013Baby Unit"],"prefix":"10.1055","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3289-7874","authenticated-orcid":false,"given":"Arpitha","family":"Chiruvolu","sequence":"additional","affiliation":[{"name":"Department of Women and Infants, Baylor Scott & White Medical Center McKinney, Pediatrix Medical Group of Dallas, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reshma","family":"George","sequence":"additional","affiliation":[{"name":"Department of Medical Education, College of Medicine, Texas A&M University, Bryan, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen C.","family":"Stanzo","sequence":"additional","affiliation":[{"name":"Department of Women and Infants, Baylor Scott & White Medical Center McKinney, Pediatrix Medical Group of Dallas, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassandra M.","family":"Kindla","sequence":"additional","affiliation":[{"name":"Department of Women and Infants, Baylor Scott & White Medical Center McKinney, Pediatrix Medical Group of Dallas, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sujata","family":"Desai","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Baylor University Medical Center, Pediatrix Medical Group of Dallas, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,3,15]]},"reference":[{"issue":"07","key":"ref1","first-page":"CD004074","article-title":"Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes","author":"S J McDonald","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1038\/jp.2016.222","article-title":"Effects of delayed cord clamping on residual placental blood volume, hemoglobin and bilirubin levels in term infants: a randomized controlled trial","volume":"37","author":"J S Mercer","year":"2017","journal-title":"J 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