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. 1969 Apr 5;2(5648):11–13. doi: 10.1136/bmj.2.5648.11

Placental Transfusion as an Intrauterine Phenomenon in Deliveries Complicated by Foetal Distress

Alistair G S Philip, Ann B Yee, Moothedan Rosy, Nergesh Surti, A Tsamtsouris, David Ingall
PMCID: PMC1983000  PMID: 5813320

Abstract

The details of the deliveries of 10 infants whose cords were clamped before the onset of respiration and within one minute of delivery of the chin but whose residual placental volumes were unexpectedly low are compared with 20 control infants whose cords were clamped under similar conditions but who had the expected residual placental volumes. The only statistically significant difference between these groups was in the high number of patients with foetal distress and low Apgar scores in the former group. It is concluded that placental transfusion occurred before delivery in these patients and that foetal asphyxia facilitated this transfusion, which may be the underlying mechanism of neonatal erythrocythaemia or transient tachypnoea of the newborn.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Avery M. E., Gatewood O. B., Brumley G. Transient tachypnea of newborn. Possible delayed resorption of fluid at birth. Am J Dis Child. 1966 Apr;111(4):380–385. doi: 10.1001/archpedi.1966.02090070078010. [DOI] [PubMed] [Google Scholar]
  2. BURNARD E. D., JAMES L. S. Atrial pressures and cardiac size in the newborn infant. Relationships with degree of birth asphyxia and size of placental transfusion. J Pediatr. 1963 Jun;62:815–826. doi: 10.1016/s0022-3476(63)80095-5. [DOI] [PubMed] [Google Scholar]
  3. Comline R. S., Silver M. Development of activity in the adrenal medulla of the foetus and new-born animal. Br Med Bull. 1966 Jan;22(1):16–20. doi: 10.1093/oxfordjournals.bmb.a070430. [DOI] [PubMed] [Google Scholar]
  4. GUNTHER M. The transfer of blood between baby and placenta in the minutes after birth. Lancet. 1957 Jun 22;272(6982):1277–1280. doi: 10.1016/s0140-6736(57)92302-4. [DOI] [PubMed] [Google Scholar]
  5. Inall J. A., Bluhm M. M., Kerr M. M., Douglas T. A., Hope C. S., Hutchison J. H. Blood volume and haematocrit studies in respiratory distress syndrome of the newborn. Arch Dis Child. 1965 Oct;40(213):480–484. doi: 10.1136/adc.40.213.480. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. KING J. E., BECKER R. F. INTRAUTERINE RESPIRATION IN THE RAT FETUS. 3. ASPIRATION AND SWALLOWING OF CALCODUR BLUE DYE. Am J Obstet Gynecol. 1964 Sep 15;90:257–263. doi: 10.1016/0002-9378(64)90488-0. [DOI] [PubMed] [Google Scholar]
  7. Kjeldsen J., Pedersen J. Relation of residual placental blood-volume to onset of respiration and the respiratory-distress syndrome in infants of diabetic and non-diabetic mothers. Lancet. 1967 Jan 28;1(7483):180–184. doi: 10.1016/s0140-6736(67)91823-5. [DOI] [PubMed] [Google Scholar]
  8. Moss A. J., Monset-Couchard M. Placental transfusion: early versus late clamping of the umbilical cord. Pediatrics. 1967 Jul;40(1):109–126. [PubMed] [Google Scholar]
  9. NYBERG R., WESTIN B. On the influence of uterine contractions on the blood pressure in the umbilical vein at birth. Acta Paediatr. 1958 Jul;47(4):350–353. doi: 10.1111/j.1651-2227.1958.tb07644.x. [DOI] [PubMed] [Google Scholar]
  10. REDMOND A., ISANA S., INGALL D. RELATION OF ONSET OF RESPIRATION TO PLACENTAL TRANSFUSION. Lancet. 1965 Feb 6;1(7380):283–285. doi: 10.1016/s0140-6736(65)91025-1. [DOI] [PubMed] [Google Scholar]
  11. Yao A. C., Wist A., Lind J. The blood volume of the newborn infant delivered by caesarean section. Acta Paediatr Scand. 1967 Nov;56(6):585–592. doi: 10.1111/j.1651-2227.1967.tb15984.x. [DOI] [PubMed] [Google Scholar]

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