Mohan

I am practicing on an exclusive mother and child care hospital in a resource poor setting in Western Odisha India where we get a lot of babies with birth asphyxia. For the last 4 yrs we have been using a low cost device called Mira Cradle which uses phase change material in a a polyurethane cradle. We have found it to be very effective in maintaining the requisite temperature for 72 hrs without use of electricity. This has resulted in favorable out comes especially in babies with moderate encephalopathy

Dear Rianne, Thanks a lot for the interesting insight into DCC and the referenced article. I do agree the placental blood volume will be helpful to the neonate. But how will blood flow into the neonate after the placenta has been delivered? One study suggested that the placenta be collected in a sterile bag(if delivered before 3 minutes) and taken along with the baby. If so where will the placenta be kept? On the same matress as the baby or should it be suspended at a higher level for gravity to allow the placental blood to flow into the neonate? Any studies on this and the practical methods of doing this? Mohan

Thanks satyen for clarifying

Is there any point in delaying clamping the cord after the placenta has been delivered which sometimes happens before 3 minutes, the time recommended for term babies in the webnar Also neither AAP nor WHO or Gynecological societies mention 3 minutes as the recommended time as yet. So can there be medico legal issues

Is there any point in doing DCC after the placenta has been separated and delivered

Can we diagnose PPHN fairly confidently by this procedure to start Sidenafil

What are the present recommendations on use of surfactant in MAS? What is the upper age limit till when it can be used?

I have been using 2.5% betadine drops soon after birth to all neonates with significant reduction in eye infections

Do all preterm neonates on antibiotics require weekly Vitamin K IM injection even if on EBM/ Breast feeds? If so till how long?