臨床婦人科産科74巻10号

2020年10月発行

今月の臨床 胎盤・臍帯・羊水異常の徹底理解―病態から診断・治療まで

TOPICS

出生後の臍帯ミルキングの利点と欠点

著者： 細野茂春¹

所属機関： ¹自治医科大学附属さいたま医療センター周産期科新生児部門

ページ範囲：P.1055 - P.1061

文献概要

●臍帯ミルキングの目的は，循環血液量の増加による貧血および鉄欠乏の予防と血圧の早期安定化による合併症の予防にある．

●臍帯ミルキングは臍帯結紮・切除後の単回ミルキングと臍帯結紮前の複数回ミルキングに大別されるが，早産児では30秒以上の臍帯遅延結紮と同等の効果があると考えられる．

●わが国で標準的に行われている臍帯結紮・切除後の単回ミルキングは，蘇生の有無にかかわらず安定して施行できる手技である．

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