Effect of Umbilical Cord Milking vs Delayed Cord Clamping on Venous Hematocrit at 48 Hours in Late Preterm and Term Neonates: A Randomized Controlled Trial

2020 ◽  
Vol 57 (12) ◽  
pp. 1119-1123
Author(s):  
Mukul Kumar Mangla ◽  
Anu Thukral ◽  
M. Jeeva Sankar ◽  
Ramesh Agarwal ◽  
Ashok K. Deorari ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Umbilical Cord ◽  
Controlled Trial ◽  
Late Preterm ◽  
Delayed Cord Clamping ◽  
Term Neonates ◽  
Randomized Controlled ◽  
Cord Clamping ◽  
Umbilical Cord Milking

Umbilical Cord Management in Late Preterm and Term Infants: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Hasan Kilicdag ◽  
Barbaros Sahin Karagun ◽  
Ali Bulent Antmen ◽  
Erdal Candan ◽  
Hale Erbas
Keyword(s):  
Randomized Controlled Trial ◽  
Umbilical Cord ◽  
Controlled Trial ◽  
Hematological Parameters ◽  
Late Preterm ◽  
Term Infants ◽  
Randomized Controlled ◽  
Cord Clamping ◽  
Key Points ◽  
Umbilical Cord Milking

Objective The study aimed to compare the effects of three different methods of umbilical cord management on hematological parameters in term and late-preterm infants. Study Design A randomized controlled trial comparing intact-umbilical cord milking (I-UCM) with cut-umbilical cord milking (C-UCM) and immediate cord clamping (ICC) in neonates born >35 weeks' gestation. Results A total of 587 infants were evaluated. Of these, 197 were assigned to I-UCM, 190 to C-UCM, and 200 to ICC. Mean hemoglobin and hematocrit levels at 48 hours of age were higher in I-UCM group compared with the ICC group (p = 0.002 and p = 0.010, respectively) Conclusion These findings suggest that I-UCM is more beneficial choice. Further trials are needed to assess the various long- and short-term effects of different cord milking methods. Key Points

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