1 pointHere are some answers on @AllThingsNeonatal blog above; Dear Michael, thanks for posting your thoughts on our paper: https://rdcu.be/bP2Ew Regarding < 1 minute compared to > 3 minutes we had the same criteria in our RCT on 540 healthy newborns with 12 months follow-up, showing reduced anemia (http://dx.doi.org/10.1001/jamapediatrics.2016.3971) and improved development assessed by ASQ (http://dx.doi.org/10.1159/000491994). Most major studies on DCC in term infants define DCC as 2-3 min or more. Regarding outcomes in the above mentioned study (https://doi.org/10.1186/s40748-019-0103-y) I can only regret that we didn´t include the important data on temperature and NICU admittance; for you and your readers, here they are. Temperature Celcius: DCC 36.3 (0.5) vs ECC 36.3 (0.5), p=0.05, Mean difference -0.05 (-0.11 – 0.00) Fahrenheit: DCC 97.3 (0.9) vs ECC 97.4 (0.8), DCC 36.3 (0.5), ECC 36.3 (0.5), p=0.05, Mean difference -0.05 (-0.11 – 0.00) Measured at (minutes after birth): DCC 17.1 (8.9) vs ECC 16.7 (1.6), p=0.38, Mean difference 0.4 (-0.3 – 1.1) NICU admittance, N (%): DCC 5 (0.8%) vc ECC 5 (0.7%), p>0.99. As I hope you´ve noticed, we published a study last week on intact cord resuscitation where we included data on temperature and admittance to the NICU: https://doi.org/10.1186/s40748-019-0110-z Kind regards, Ola Andersson
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1 pointSame here in Japan, as well as in our unit in Canada, no special management for preterm infants of smoking mothers. Although we have a concern towards smoker parents when they visit their babies in the NICU, we do ask them not to smoke before coming to the NICU and to wear newly washed cloth which doesn't have smoking smell in them.
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