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January 2015

Placental Transfusion at Birth: Do We Have All of the Answers?

Author Affiliations
  • 1Division of Neonatology, Department of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania

Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Pediatr. 2015;169(1):9-11. doi:10.1001/jamapediatrics.2014.2347

Many questions remain about both delayed cord clamping (DCC) and umbilical cord milking (UCM). Al-Wassia and Shah1 report the first meta-analysis of UCM in infants. We review current recommendations and concerns impeding their translation into widespread practice. We next review new meta-analyses in the literature that address some of the remaining knowledge gaps for placental transfusion, including the aforementioned UCM meta-analysis. Finally, we highlight some remaining reasons clinicians should proceed cautiously in adopting these practices.