The 10th Dresden Symposium on Delivery Room Management formed an appropriate stage for the introduction of the new Concord Birth Trolley. With this revolutionary solution, Concord Neonatal enables hospitals to implement physiological-based cord clamping for all newborns who need extra support immediately after birth. Enabling physiological-based cord clamping 1 in 10 babies breathe insufficiently at birth. Around the world, this affects over 35,000 newborns every day. These babies need all the strength and support they can get. To improve birth, scientists Prof. Arjan te Pas and Prof. Stuart Hooper developed a new concept of care, called physiological-based cord clamping: waiting with clamping the umbilical cord until the baby is fully stable and breathing on its own. Scientific evidence shows that this leads to a gentle switch from the oxygen rich blood flow from the mother’s placenta to autonomous breathing and blood flow. Physiological-based cord clamping has the potential to reduce complications at birth, prevent long term disability and may even prevent loss of life. From science to practice After years of animal testing, Prof. Arjan te Pas had the ambition to research if the positive effects seen with preterm lambs would also translate to preterm babies. The first ideas and experiments to develop a solution started in 2015, by a multidisciplinary team from Leiden University Medical Center. To allow wider implementation and multicenter clinical research, Concord Neonatal B.V. was founded in 2017 as a spin-off company from LUMC.
During the 10th Dresden Symposium, the Concord Birth Trolley was introduced to the public for the first time. This mobile trolley creates a safe workplace for neonatal caregivers to provide lifesaving care with the umbilical cord intact for as long as needed. Concord can be equipped with all necessary devices for adequate monitoring and treatment of newborn babies.
There no longer is any urgency to cut the cord, all necessary care can be provided immediately, while allowing to wait calmly with clamping the cord until the baby is fully stable and breathing on its own.
Professor Mario Rüdiger, organizer of the 10th Dresden Symposium, explains: “The need for physiological-based cord clamping has been an important topic on our meeting agenda during past years. We are happy to see a chance to translate science into clinical care with the availability of the Concord Birth Trolley.”
The result of the first feasibility study with Concord, ABC-1, is showing promising results. Concord Neonatal expects to have CE marking for the product coming April. Concord will be implemented in hospitals who participate in the ABC-3 trial, a multicenter randomized controlled trial, to research the benefits of physiological-based cord clamping.
 Brouwer E, Knol R, Vernooij ASN, et al. Arch Dis Child Fetal Neonatal Ed. doi:10.1136/archdischild-2018-315483