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Placental transfusion in extremely immature newborns.
Primaková, Barbora ; Lamberská, Tereza (advisor) ; Šimják, Patrik (referee)
The bachelor thesis presents the current topic of placental transfusion in extremely premature newborns. The main aim of the thesis is to introduce a unique method of stabilising extremely premature newborns on the intact umbilical cord to the Czech professional public. The thesis is divided into the theoretical and practical part. The first chapters show a brief overview of the extremely premature newborns' transition from intrauterine to extrauterine life. The following section presents currently used methods of placental transfusion, with particular emphasis on placental transfusion methods used for extremely preterm newborns. In the practical part are discussed the case reports of extremely premature newborns who were stabilised on the intact umbilical cord. Key words: Extremely premature newborn, Placental transfusion, Delayed cord clamping, Umbilical cord milking, Stabilisation on the intact ublilical cord
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Placental transfusion in extremely immature newborns.
Primaková, Barbora ; Lamberská, Tereza (advisor) ; Šimják, Patrik (referee)
The bachelor thesis presents the current topic of placental transfusion in extremely premature newborns. The main aim of the thesis is to introduce a unique method of stabilising extremely premature newborns on the intact umbilical cord to the Czech professional public. The thesis is divided into the theoretical and practical part. The first chapters show a brief overview of the extremely premature newborns' transition from intrauterine to extrauterine life. The following section presents currently used methods of placental transfusion, with particular emphasis on placental transfusion methods used for extremely preterm newborns. In the practical part are discussed the case reports of extremely premature newborns who were stabilised on the intact umbilical cord. Key words: Extremely premature newborn, Placental transfusion, Delayed cord clamping, Umbilical cord milking, Stabilisation on the intact ublilical cord
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Stabilisation and resuscitation of extremely preterm newborns at birth.
Lamberská, Tereza ; Plavka, Richard (advisor) ; Zoban, Petr (referee) ; Kokštein, Zdeněk (referee)
Stabilisation and resuscitation in the delivery room is an integral part of the care of extremely premature newborns. The main task is to support essential life functions and to facilitate the adaptation of the immature organism to the extrauterine life. The current recommendations are well defined for the full term and late preterm newborns, but there is a lack of targeted recommendations for the stabilisation and resuscitation of extremely premature newborns. The research part of the submitted thesis summarises the most important results of clinical research performed in 2010-2015 at the Department of Neonatology of the Department of Gynecology and Obstetrics, VFN and First Faculty of Medicine, Charles University in Prague. The research evaluates the efficacy and side effects of the currently recommended methods of stabilisation and resuscitation of extremely premature neonates in the delivery room and presents some new and potentially useful techniques for delivery room care. A significant output of this work is the recommendation for practice, structured according to the gestational age of extremely premature newborns. The proposed guideline is based on our results of partial clinical trials and aims to improve the current level of stabilisation and resuscitation of extremely premature newborns...
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