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Bussone’s sister-in-law, an obstetrics nurse at another facility, came to Huntington and said Bussone needed a perinatology specialist and another ultrasound.

“Unfortunately, the value of immediate clamping has never been shown,” said Raju, a perinatology specialist at NIH’s National Institute of Child Health and Human Development.

"Doctors and patients look at cesareans as an easy way to time the birth," said Dr. Marlin Mills, chief of perinatology at the hospital.

Routine prenatal testing easly in the second trimester showed evidence of Trisomy 21, which was confirmed by perinatology consultation and amniocentesis.

"This is a major breakthrough in maternal and child health," said Roberto Romero, chief of the perinatology research branch of the National Institute of Child Health and Human Development and a co-author of the paper.