Impact of resuscitation with 100% oxygen during physiological-based cord clamping or immediate cord clamping on lung inflammation and injury

The appropriate oxygen level to use during the initial resuscitation of preterm infants during delayed cord clamping/physiological based cord clamping is not known. We found that providing prolonged high oxygen during physiological based cord clamping to preterm lambs does not protect the preterm lung from inflammation, injury or oxidative stress compared to immediate cord clamping. The use of prolonged high oxygen during the initial resuscitation of preterm newborns should be avoided irrespective of what cord clamping strategy is being used.

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Publication Details

Journal
Pediatric Research
Published
2025-08-15
DOI
https://doi.org/10.1038/s41390-025-04285-6
Citations
2
Primary Topic
Neonatal Respiratory Health Research
Type
article
Field-Weighted Citation Impact
3.04

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article

Impact of resuscitation with 100% oxygen during physiological-based cord clamping or immediate cord clamping on lung inflammation and injury

Alison Thiel, Stuart B. Hooper, Georg Marcus Schmölzer, Robert Galinsky et al.
2 citations
Pediatric Research
Neonatal Respiratory Health Research
3.04
article

Impact of resuscitation with 100% oxygen during physiological-based cord clamping or immediate cord clamping on lung inflammation and injury

Alison Thiel, Stuart B. Hooper, Georg Marcus Schmölzer, Robert Galinsky, Graeme R. Polglase, Nhi T. Tran, E Vandenberg, Calum T. Roberts, Martin Kluckow, Shiraz Badurdeen, Arjan B. te Pas, Zoe Johnson, Andrew Gill, E Cannata, Hui Lü, Valerie A. Zahra, Zoe Poulos
article en
2 citations

Abstract

The appropriate oxygen level to use during the initial resuscitation of preterm infants during delayed cord clamping/physiological based cord clamping is not known. We found that providing prolonged high oxygen during physiological based cord clamping to preterm lambs does not protect the preterm lung from inflammation, injury or oxidative stress compared to immediate cord clamping. The use of prolonged high oxygen during the initial resuscitation of preterm newborns should be avoided irrespective of what cord clamping strategy is being used.

Pediatric Research
The University of Sydney (AU), University of Alberta (CA), The University of Western Australia (AU), Leiden University Medical Center (NL), Royal North Shore Hospital (AU), Mercy Hospital for Women (AU), Hudson Institute of Medical Research (AU), Royal Alexandra Hospital (CA), Monash Children’s Hospital (AU), Monash University (AU)
National Heart Foundation of Australia, State Government of Victoria, Medical Research Council, National Health and Medical Research Council
Openalex Percentile: Top 8%
Neonatal Respiratory Health Research
3.04
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