Date of Original Version
Early clamping of the umbilical cord at birth, a practice developed without adequate evidence, causes neonatal blood volume to vary 25% to 40. Such a massive change occurs at no other time in one's life without serious consequences, even death. Early cord clamping may impede a successful transition and contribute to hypovolemic and hypoxic damage in vulnerable newborns. The authors present a model for neonatal transition based on and driven by adequate blood volume rather than by respiratory effort to demonstrate how neonatal transition most likely occurs at a normal physiologic birth.
The Journal of Perinatal & Neonatal Nursing
Mercer, J. S. & Skovgaard, R. L. (2002). Neonatal Transitional Physiology: A New Paradigm. The Journal of Perinatal & Neonatal Nursing, 15(4), 56-57. https://doi.org/10.1097/00005237-200203000-00007
Available at: https://doi.org/10.1097/00005237-200203000-00007