Mankind's first natural stem cell transplant
- PMID: 20141549
- PMCID: PMC3823451
- DOI: 10.1111/j.1582-4934.2010.01029.x
Mankind's first natural stem cell transplant
Abstract
The timing of the umbilical cord clamping at birth is still controversial. In the modern era of medicine, the cord has been clamped early to facilitate resuscitation and stabilization of infants. However, recently delayed cord clamping has been supported by physicians because it allows for the physiological transfer of blood from the placenta to the infant. Many clinical studies have revealed that the delayed cord clamping elevates blood volume and haemoglobin and prevents anaemia in infants. Moreover, since it was known that umbilical cord blood contains various valuable stem cells such as haematopoietic stem cells, endothelial cell precursors, mesenchymal progenitors and multipotent/pluripotent lineage stem cells, the merit of delayed cord clamping has been magnified. In this review, we discuss the advantages and disadvantages of delayed cord clamping at birth. We highlight the importance of delayed cord clamping in realizing mankind's first stem cell transfer and propose that it should be encouraged in normal births.
Figures
Comment in
-
Natural stem cell transplantation: interventions, nuances and ethics.J Cell Mol Med. 2010 Dec;14(12):2840-1. doi: 10.1111/j.1582-4934.2010.01199.x. J Cell Mol Med. 2010. PMID: 21040456 Free PMC article. No abstract available.
Similar articles
-
Timing of umbilical cord clamping after birth for optimizing placental transfusion.Curr Opin Pediatr. 2013 Apr;25(2):180-7. doi: 10.1097/MOP.0b013e32835d2a9e. Curr Opin Pediatr. 2013. PMID: 23407180 Review.
-
Umbilical cord milking in preterm infants: a systematic review and meta-analysis.Arch Dis Child Fetal Neonatal Ed. 2020 Nov;105(6):572-580. doi: 10.1136/archdischild-2019-318627. Epub 2020 Mar 9. Arch Dis Child Fetal Neonatal Ed. 2020. PMID: 32152192
-
Effect of timing of umbilical cord clamping on anaemia at 8 and 12 months and later neurodevelopment in late pre-term and term infants; a facility-based, randomized-controlled trial in Nepal.BMC Pediatr. 2016 Mar 10;16:35. doi: 10.1186/s12887-016-0576-z. BMC Pediatr. 2016. PMID: 26965317 Free PMC article. Clinical Trial.
-
Delayed cord clamping in preterm infants delivered at 34 36 weeks' gestation: a randomised controlled trial.Arch Dis Child Fetal Neonatal Ed. 2008 Jan;93(1):F20-3. doi: 10.1136/adc.2006.100354. Epub 2007 Feb 16. Arch Dis Child Fetal Neonatal Ed. 2008. PMID: 17307809 Clinical Trial.
-
Wait a minute? An observational cohort study comparing iron stores in healthy Swedish infants at 4 months of age after 10-, 60- and 180-second umbilical cord clamping.BMJ Open. 2017 Dec 29;7(12):e017215. doi: 10.1136/bmjopen-2017-017215. BMJ Open. 2017. PMID: 29289934 Free PMC article.
Cited by
-
Resuscitation of Term Compromised and Asphyctic Newborns: Better with Intact Umbilical Cord?Geburtshilfe Frauenheilkd. 2022 Jun 23;82(7):706-718. doi: 10.1055/a-1804-3268. eCollection 2022 Jul. Geburtshilfe Frauenheilkd. 2022. PMID: 35815099 Free PMC article.
-
Effects of Umbilical Cord Management Strategies on Stem Cell Transfusion, Delivery Room Adaptation, and Cerebral Oxygenation in Term and Late Preterm Infants.Front Pediatr. 2022 Apr 4;10:838444. doi: 10.3389/fped.2022.838444. eCollection 2022. Front Pediatr. 2022. PMID: 35444969 Free PMC article.
-
Effects of delayed cord clamping in very-low-birth-weight infants.J Perinatol. 2011 Apr;31 Suppl 1(Suppl 1):S68-71. doi: 10.1038/jp.2010.186. J Perinatol. 2011. PMID: 21448208 Free PMC article. Clinical Trial.
-
Early versus delayed umbilical cord clamping on maternal and neonatal outcomes.Arch Gynecol Obstet. 2019 Sep;300(3):531-543. doi: 10.1007/s00404-019-05215-8. Epub 2019 Jun 15. Arch Gynecol Obstet. 2019. PMID: 31203386 Free PMC article. Review.
-
Placental transfusion: may the "force" be with the baby.J Perinatol. 2021 Jun;41(6):1495-1504. doi: 10.1038/s41372-021-01055-0. Epub 2021 Apr 13. J Perinatol. 2021. PMID: 33850284 Review.
References
-
- Peltonen T. Placental transfusion – advantage an disadvantage. Eur J Pediatr. 1981;137:141–6. - PubMed
-
- Mercer JS. Current best evidence: a review of the literature on umbilical cord clamping. J Midwifery Womens Health. 2001;46:402–14. - PubMed
-
- McClausland AM, Holmes F, Schumann WR. Management of cord and placental blood and its effect upon the newborn. Part II. West J Surg Obstet Gynecol. 1950;58:591–608. - PubMed
-
- Mercer JS, Nelson CC, Skovgaard RL. Umbilical cord clamping: beliefs and practices of American nurse-midwives. J Midwifery Womens Health. 2000;45:58–66. - PubMed
-
- McDonald SJ, Middleton P. Effect of timing of umbilical cord clamping of term infants on matenal and neonatal outcomes. Cochrane Database Syst Rev. 2008:CD004074. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources