Does umbilical cord milking result in higher measures of systemic blood flow in preterm infants?

2017 ◽  
Vol 106 (10) ◽  
pp. 1709-1709
Author(s):  
Leah Yieh ◽  
Jamie B. Warren
Keyword(s):  
Blood Flow ◽  
Preterm Infants ◽  
Umbilical Cord ◽  
Systemic Blood ◽  
Systemic Blood Flow ◽  
Umbilical Cord Milking

Low systemic blood flow and hyperkalemia in preterm infants

2001 ◽  
Vol 139 (2) ◽  
pp. 227-232 ◽  
Author(s):  
Martin Kluckow ◽  
Nick Evans
Keyword(s):  
Blood Flow ◽  
Preterm Infants ◽  
Systemic Blood ◽  
Systemic Blood Flow

Diagnosis and Treatment of Low Systemic Blood Flow in Preterm Infants

NeoReviews ◽  
2004 ◽  
Vol 5 (3) ◽  
pp. e109-e121 ◽  
Author(s):  
D. Osborn ◽  
N. Evans ◽  
M. Kluckow
Keyword(s):  
Blood Flow ◽  
Preterm Infants ◽  
Diagnosis And Treatment ◽  
Systemic Blood ◽  
Systemic Blood Flow

scholarly journals The relationship between BNP, NTproBNP and echocardiographic measurements of systemic blood flow in very preterm infants

2014 ◽  
Vol 34 (4) ◽  
pp. 296-300 ◽  
Author(s):  
K König ◽  
K J Guy ◽  
G Walsh ◽  
S M Drew ◽  
A Watkins ◽  
...  
Keyword(s):  
Blood Flow ◽  
Preterm Infants ◽  
Systemic Blood ◽  
Systemic Blood Flow ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
The Relationship

scholarly journals 133 Pilot Study of Milrinone for Prevention of Low Systemic Blood Flow in Very Preterm Infants

2004 ◽  
Vol 56 (3) ◽  
pp. 486-486 ◽  
Author(s):  
M Paradisis ◽  
N J Evans ◽  
D A Osborn ◽  
M Kluckow ◽  
A McLachlan
Keyword(s):  
Blood Flow ◽  
Pilot Study ◽  
Preterm Infants ◽  
Systemic Blood ◽  
Systemic Blood Flow ◽  
Very Preterm Infants ◽  
Very Preterm

Cord milking versus immediate clamping in preterm infants: a randomised controlled trial

2018 ◽  
Vol 104 (2) ◽  
pp. F145-F150 ◽  
Author(s):  
Walid El-Naggar ◽  
David Simpson ◽  
Arif Hussain ◽  
Anthony Armson ◽  
Linda Dodds ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cardiac Output ◽  
Preterm Infants ◽  
Controlled Trial ◽  
Superior Vena ◽  
Tertiary Care ◽  
Vena Cava ◽  
Mean Difference ◽  
Systemic Blood ◽  
Systemic Blood Flow

ObjectiveTo investigate whether umbilical cord milking (UCM) at birth improves systemic blood flow and short-term outcomes, as compared with immediate cord clamping (ICC).DesignRandomised clinical trial.SettingSingle tertiary care centre.PatientsInfants born to eligible women presenting in preterm labour between 24 and 31 weeks’ gestation.InterventionsUCM three times at birth or ICC.Outcome measuresPrimary outcome included systemic blood flow as represented by echo-derived superior vena cava(SVC) flow at 4–6 hours after birth. The echocardiographer and interpreter were blinded to the randomisation. Secondary outcomes included cardiac output, neonatal morbidities and mortality. Analysis was by intention to treat.ResultsA total of 73 infants were randomised (37 to UCM and 36 to ICC). Mean (SD) gestational age was 27 (2) weeks and mean (SD) birth weight was 1040 (283) g. Haemoglobin on admission was higher in the UCM than in the ICC group (16.1 vs 15.0 g/L), p=0.049 (mean difference 1.1, 95% CI 0.003 to 2.2). No statistically significant differences were found between groups in SVC flow at 4–6 hours (88.9±37.8 and 107.3±60.1 mL/kg/min), p=0.13 (mean difference −18.4, 95% CI −41.7 to 5.0 mL/kg/min) or at 10–12 hours of age (102.5±41.8 and 90.6±28.4 mL/kg/min), p=0.17 (mean difference 12.0, 95% CI −4.7 to 28.7 mL/kg/min), cardiac output or neonatal morbidities.ConclusionsCord milking was not shown to improve functional cardiac outcomes, neonatal morbidity or mortality. More research is needed before routine cord milking can be recommended for very preterm infants.Trial registrationNCT01487187.

Randomized trial of dobutamine versus dopamine in preterm infants with low systemic blood flow

2002 ◽  
Vol 140 (2) ◽  
pp. 183-191 ◽  
Author(s):  
David Osborn ◽  
Nick Evans ◽  
Martin Kluckow
Keyword(s):  
Blood Flow ◽  
Randomized Trial ◽  
Preterm Infants ◽  
Systemic Blood ◽  
Systemic Blood Flow
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