To the Editor: On reading the article by Vowels et al. (Nov.25 issue)1 on the use of cord-blood stem cells to correct X-linkedlymphoproliferative disease, we were troubled by the authors'cavalier attitude concerning clamping of the umbilical cordof the newborn donor. They state that early clamping is safebut offer no data to substantiate this claim. There is evidencein the literature that early clamping of the umbilical cordincreases the incidence of intraventricular hemorrhage in theneonate2,3.
Mark Ende, M.D. Frederick I. Ende, M.D. 121 S. Market St. Petersburg,VA 23803
References
Vowels MR, Lam-Po-Tang R, Berdoukas V, et al. Correction of X-linked lymphoproliferative disease by transplantation of cord-blood stem cells. N Engl J Med 1993;329:1623-1625. [Free Full Text]
Hofmeyr GJ, Bex PJM, Skapinker R, Delahunt T. Hasty clamping of the umbilical cord may initiate neonatal intraventricular hemorrhage. Med Hypotheses 1989;29:5-6. [Medline]
Hofmeyr GJ, Bolton KD, Bowen DC, Govan JJ. Periventricular/intraventricular haemorrhage and umbilical cord clamping: findings and hypothesis. S Afr Med J 1988;73:104-106. [Medline]