Hebamme 2019; 32(04): 23-31
DOI: 10.1055/a-0953-4640
CNE Schwerpunkt
Vorzeitiges Handeln
© Georg Thieme Verlag KG Stuttgart · New York

Verzögertes Abnabeln – Frauen kompetent beraten

Anna Kalbér
,
Thomas Kühn
Further Information

Publication History

Publication Date:
02 September 2019 (online)

Wann ist der optimale Zeitpunkt für das Abnabeln Neugeborener – gibt es diesen überhaupt? Was spricht für spätes Abnabeln? Und wie beraten wir Frauen? Der Artikel fasst aktuelle Evidenz zusammen und vermittelt Wissen für die Praxis.

 
  • Literatur

  • 1 American College of Obstetricians and Gynecologist (ACOG). ACOG Guideline, Committee Opinion Number 684: Delayed Umbilical Cord Clamping After Birth. Im Internet: https://www.acog.org/Clinical-Guidance-and-Publications/Committee- Opinions/Committee-on-Obstetric-Practice/Delayed-Umbilical-Cord-Clamping-After-Birth. Stand: Januar 2017
  • 2 Al-Wassia H, Shah PS. Efficacy and safety of umbilical cord milking at birth: a systematic review and meta-analysis. JAMA Pediatr 2015; 169 (01) : 18-25
  • 3 Andersson O, Hellström-Westas L, Andersson D. et al. Effect of delayed versus early umbilical cord clamping on neonatal outcomes and iron status at 4 months: a randomized controlled trial. BMJ 2011; 343
  • 4 Andersson O, Domellöf M, Andersson D. et al. Effect of delayed vs early umbilical cord clamping on iron status and neurodevelopment at age 12 months: a randomized clinical trial. JAMA Pediatr 2014; 168: 547-554
  • 5 Andersson O, Lindquist B, Lindgren M. et al. Effect of Delayed Cord Clamping on Neurodevelopment at 4 Years of Age: A Randomized Clinical Trial. JAMA Pediatr 2015; 169 (07) : 631-638
  • 6 AWMF. Leitlinie Betreuung des gesunden reifen Neugeborenen in der Geburtsklinik. 2012 Registernummer 024-005
  • 7 Berger R, Söder S, Abele H. et al. Neuroprotektion bei Frühgeborenen. Der Gynäkologe 2014; 11: 856-864
  • 8 Bhatt S, Alison BJ, Wallace EM. et al. Delaying cord clamping until ventilation onset improves cardiovascular function at birth in preterm lambs. J Physiol 2013; 591: 2113-2126
  • 9 Blank DA, Polglase GR, Kluckow M. et al. Haemodynamic effects of umbilical cord milking in premature sheep during the neonatal transition. Archives of Disease in Childhood – Fetal and Neonatal Edition 2018; 103: F539-F546
  • 10 Brouwer E, Knol R. Vernooij ASN et al. Physiological-based cord clamping in preterm infants using a new purpose-built resuscitation table: a feasibility study. Arch Dis Child Fetal Neonatal Ed. Epub ahead of print: [03.10.2018]. doi:10.1136/archdischild-2018-315483
  • 11 Darwin E. The Project Gutenberg ebook of zoonomia. Vol. I. Zoonomia, or the laws of organic life (18.06.2014). Im Internet: http://www.gutenberg.org/files/15707/15707-h/15707-h.htm
  • 12 Duley L, Dorling J, Pushpa-Rajah A. et al. Cord Pilot Trial Collaborative Group. Randomised trial of cord clamping and initial stabilisation at very preterm birth. Arch Dis Child Fetal Neonatal Ed. 2018; 103 (01) : F6-14
  • 13 Dunn PM. Dr Erasmus Darwin (1731–1802) of Lichfield and placental respiration. Arch Dis Child Fetal Neonatal Ed . 2003 (88) : F346-F348
  • 14 Fogarty M, Osborn DA, Askie L. et al. Delayed vs early umbilical cord clamping for preterm infants: a systematic review and meta-analysis. Am J Obstet Gynecol . 2018; 218 (01) : 1-18
  • 15 Dal Pian D. Lotus-Geburt. Frauenheilkunde aktuell 2007 (2): 35-36 Im Internet: http://www.frauenheilkunde-aktuell.ch/de/fachmagazin/ausgaben/2007-02/frauenheilkunde-aktuell-2007-02.pdf
  • 16 Katheria A, Mercer J, Brown M. et al. Umbilical cord milking at birth for term newborns with acidosis: neonatal outcomes. Journal of Perinatology 2017 doi:10.1038/s41372-017-0011-9
  • 17 Katheria A, Garey D, Truong G. et al. A randomized clinical trial of umbilical cord milking vs delayed cord clamping in preterm infants: neurodevelopmental outcomes at 22-26 months of corrected age. J Pediatr . 2018; 194: 76-80
  • 18 Katheria AC, Reister F, Hummler H. et al. Premature Infants Receiving Cord Milking or Delayed Cord Clamping: A Randomized Controlled Non-inferiority Trial (abstract LB 1). Am J Obstet Gynecol. 2019
  • 19 Linderkamp O. Blood rheology in the newborn infant. Baillieres Clin Haematol 1987; 1: 801-825
  • 20 Linderkamp O, Nelle M, Kraus M. et al. The effect of early and late cord-clamping on blood viscosity and other hemorheological parameters in full-term neonates. Acta Paediatr 1992; 81: 745-750
  • 21 Mercer JS, Erickson-Owen DA, Vohr BR. et al. Effects of placental transfusion on neonatal and 18 month outcomes in preterm infants: a randomized controlled trial. J Pediatr 2016; 168
  • 22 McDonald SJ, Middleton P, Dowswell T. et al. Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. Cochrane Database of Systematic Reviews 2013; 7
  • 23 Nagano N, Saito M, Sugiura T. et al. Benefits of umbilical cord milking versus delayed cord clamping on neonatal outcomes in preterm infants: A systematic review and meta-analysis. PLoS One 2018; 13: 8
  • 24 Rana N, Kc A, Målqvist M. et al. Effect of delayed Cord Clamping of Term babies on neurodevelopment at 12 Months: A Randomized Controlled Trial. Neonatology 2018; 115: 36-42
  • 25 Patel S, Clark EAS, Rodriguez CE. et al. Effect of umbilical cord milking on morbidity and survival in extremely low gestational age neonates. Am J Obstet Gynecol . 2014; 211 (05) : 519.e1-519.e7
  • 26 Pschyrembel Wörterbuch Sexualität: Stichwort „Abnabelung“. Berlin: Walter de Gruyter; 2006. : 1
  • 27 Rabe H, Reynolds G, Diaz-Rossello J. et al. Early versus delayed umbilical cord clamping in preterm infants. Cochrane Database of Systematic Reviews 2004 (04)
  • 28 Rabe H, Diaz-Rossello JL, Duley L. et al. Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes. Cochrane Database of Systematic Reviews 2012 (08)
  • 29 Royal College of Obstetricians and Gynaecologists. 2008 RCOG statement on umbilical non-severance or “lotus birth”
  • 30 Safarulla A. A review of benefits of cord milking over delayed cord clamping in the preterm infant and future directions of research. J Matern Fetal Neonatal Med . 2017; 30 (24) : 2966-2973
  • 31 Sweet GS. et al. European Consensus Guidelines on the Management of Respiratory Distress Syndrome 2016. Update Neonatology 2017; 111: 107-125
  • 32 Sweet GS, Carnielli V, Greisen G. et al. European Consensus Guidelines on the Management of Respiratory Distress Syndrome. 2019; Update Neonatology 2019; 115: 432-450
  • 33 Tarnow‐Mordi W, Morris J, Kirby A. et al. Delayed versus immediate cord clamping in preterm infants. N Engl J Med 2017; 377: 2445-2455
  • 34 Thomas MR, Yoxall CW, Weeks AD. et al. Providing newborn resuscitation at the mother´s bedside: assessing the safety, usability and acceptability of a mobile trolley. BMC Pediatrics 2014; 14: 135
  • 35 Tricarico A, Bianco V, Di Biase AR. et al. Lotus Birth Associated With Idiopathic Neonatal Hepatitis Pediatrics & Neonatology 2017; 58 (03) : 281-282
  • 36 van Rheenen P, Brabin BJ. Late umbilical cord-clamping as an intervention for reducing iron deficiency anaemia in term infants in developing and industrialised countries: a systematic review. Ann Trop Paediatr 2004; 24 (01) : 3-16
  • 37 World Health Organization. WHO Guideline: Delayed umbilical cord clamping for improved maternal and infant health and nutrition outcomes. Im Internet: https://www.who.int/ nutrition/publications/guidelines/cord_clamping/en/ ; Stand: 2014
  • 38 White LN, Thio M, Owen LS. et al. Achievement of saturation targets in preterm infants < 32 weeks gestational age in the delivery room Archives of Disease in Childhood. ADC Fetal and Neonatal Edition 2017; 102: F423-F427
  • 39 Yao AC, Lind J. Effect of early and late cord clamping on the systolic time intervals of the newborn infant. Acta Paediatr Scand 1977; 66: 489-493