scholarly journals Assessment of effectiveness of delayed cord clamping and umbilical cord milking in early term and preterm infants

2018 ◽  
Vol 5 (6) ◽  
pp. 2071
Author(s):  
Mahendra K. Jain ◽  
Nidhi Bhedru ◽  
Anubhuti Jain
Keyword(s):  
Umbilical Cord ◽  
Randomized Study ◽  
Delayed Cord Clamping ◽  
Term Infants ◽  
Early Term ◽  
Cord Clamping ◽  
Significant Difference ◽  
Insignificant Difference ◽  
Nicu Admission ◽  
Umbilical Cord Milking

Background: Early cord clamping and cutting of the umbilical cord is widely practiced as part of the management of labor; it could deprive the neonate of about a quarter of its blood volume and iron. This thesis is aimed at comparing effects of delayed cord clamping versus umbilical cord milking at birth in preterm and early term infants.Methods: This single centered randomized study was conducted in Department of Pediatrics and data collection was done on the basis of the preterm and early term infants delivered by vaginal or cesarean delivery in Department of Gynecology, Geetanjali Medical College and Hospital, Udaipur during period of January 2016 to January 2017. Total of 120 infants were included in the study.Results: Statistically it has been analyzed that in both pre-term and early term infants who underwent DDC and UCM, there was insignificant difference in level of hemoglobin (Hb), haematocrit (HCT), blood sugar, bilirubin level (TSB) and temperature of body. On the other hand, significant difference was observed in weight and cord pH of neonates of both groups. There is also insignificant difference in terms of NICU admission for RDS, sepsis, phototherapy, need of oxygen, saline boluses, PRBC transfusion, polycythemia.Conclusions: Thus, overall it was observed that there is insignificant difference in delayed cord clamping and umbilical cord milking group. Thus, both are found to be equally effective in improving hematologic parameters. 

scholarly journals Pemerahan dan penundaan penjepitan tali pusat terhadap kadar hemoglobin bayi baru lahir

2018 ◽  
Vol 5 (3) ◽  
pp. 195-200
Author(s):  
Ahmaniyah Ahmaniyah ◽  
Kamilah Hidajati ◽  
Ari Suwondo
Keyword(s):  
Treatment Group ◽  
Umbilical Cord ◽  
Vascular System ◽  
Sampling Technique ◽  
Deficiency Anemia ◽  
Control Group ◽  
Delayed Cord Clamping ◽  
Term Infants ◽  
Cord Clamping ◽  
Umbilical Cord Milking

The incidence of iron deficiency anemia in term infants from 0-6 months is 40.8%. Efforts to reduce anemia in infants and toddlers is by ensuring the baby gets blood from the placenta through the umbilical cord. Labor occurs when oxygen shifts from the heart to the lungs 8-10% of the fetal period to 50% in neonates. Immediate cord clamping vascular resistance from the disconnected placenta which results in the increased of resistance of the baby's vascular system and eliminates about 1/4 of the volume of blood and iron in the neonate. The time of cutting the umbilical cord is a determining factor for placental transfusion to the baby. Delay cord clamping and umbilical cord milking are expected to provide iron reserves in infant. The aim of this study was to determine the differences in umbilical cord milking and delayed cord clamping. The design used experimental study with posttest-Only Control Group. The sampling technique used simple random sampling differs into treatment group and control group. The treatment group was umbilical cord milking and the control group was delayed cord clamping. The highest average of Hb levels in the umbilical cord milking group was 17.3mmHg and the delayed cord clamping group was 15.75 mmHg. Difference test on umbilical cord milking group and delayed cord clamping group used independent T-test obtained P <0.05 (p = 0,001). It is recommended that midwives used umbilical cord milking as an alternative action in providing midwifery care to newborns when clamping and cutting the umbilical cord. It was proven that there were differences in the haemoglobin levels of newborns between the umbilical cord milking group and delayed cord clamping group.

Effects of Umbilical Cord Milking on Term Infants Delivered by Cesarean Section

2020 ◽  
Author(s):  
Arpitha Chiruvolu ◽  
Alexis Medders ◽  
Yahya Daoud
Keyword(s):  
Cohort Study ◽  
Adverse Effects ◽  
Cesarean Section ◽  
Blood Volume ◽  
Umbilical Cord ◽  
Short Term ◽  
Term Infants ◽  
Cord Clamping ◽  
Time Period ◽  
Umbilical Cord Milking

Abstract Objective Umbilical cord milking (UCM) is an efficient way to achieve optimal placental transfusion in term infants born by cesarean section (CS). However, it is not frequently performed due to concern for short-term adverse effects of increased blood volume, such as polycythemia and hyperbilirubinemia. The aim of this study is to evaluate the short-term effects of UCM on term infants delivered by CS. Study Design We conducted a pre- and postimplementation cohort study comparing term infants delivered by CS who received UCM five times (141 infants, UCM group) during a 6-month period (August 1, 2017 to January 31, 2018) to those who received immediate cord clamping (ICC) during the same time period (105 infants, postimplementation ICC) and during a 3-month period (October1, 2016 to December 31, 2016) prior to the implementation of UCM (141 infants, preimplementation ICC). Results Mothers were older in UCM group compared with both ICC groups. There were no significant differences in other maternal or neonatal characteristics. Although this study was not powered to detect differences in outcomes, the occurrence of hyperbilirubinemia needing phototherapy, symptomatic polycythemia, NICU admissions, or readmissions for phototherapy was similar between the groups. Conclusion UCM intervention was not associated with increased incidence of phototherapy or symptomatic polycythemia in term infants delivered by CS.

scholarly journals Early Cardiac and Cerebral Hemodynamics with Umbilical Cord Milking Compared with Delayed Cord Clamping in Infants Born Preterm

2020 ◽  
Vol 223 ◽  
pp. 51-56.e1 ◽  
Author(s):  
Anup C. Katheria ◽  
Jeff M. Szychowski ◽  
Jochen Essers ◽  
Marc R. Mendler ◽  
Eugene M. Dempsey ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Cerebral Hemodynamics ◽  
Delayed Cord Clamping ◽  
Cord Clamping ◽  
Umbilical Cord Milking

Comparison of Umbilical Cord Milking and Delayed Cord Clamping on Cerebral Blood Flow in Term Neonates

2015 ◽  
Vol 82 (10) ◽  
pp. 890-895 ◽  
Author(s):  
Prateek Jaiswal ◽  
Amit Upadhyay ◽  
Sunil Gothwal ◽  
Hema Chaudhary ◽  
Ashutosh Tandon
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Umbilical Cord ◽  
Delayed Cord Clamping ◽  
Term Neonates ◽  
Cord Clamping ◽  
Umbilical Cord Milking

scholarly journals A randomised control trial comparing the efficacy of cord milking over the delayed cord clamping on serum ferritin level in preterm neonates at 6 weeks of age

2020 ◽  
Vol 7 (5) ◽  
pp. 1017
Author(s):  
Sahana Devadas ◽  
Roshni R. ◽  
Mallesh K.
Keyword(s):  
Umbilical Cord ◽  
Iron Status ◽  
Ferritin Level ◽  
Clinical History ◽  
Randomised Control Trial ◽  
Preterm Neonates ◽  
Delayed Cord Clamping ◽  
Iron Stores ◽  
Cord Clamping ◽  
Umbilical Cord Milking

Background: Perinatal iron deficiency has received little attention in the past. Umbilical cord milking is a type of placental transfusion, they serve to potentially enhance neonatal blood volume and consequently the iron stores after birth. Among the neonates, the preterm infants are sick and vulnerable babies who are already deprived of iron stores. The aim of this study was to evaluate the effect of cord milking on ferritin values amongst preterm neonates.Methods: This is a hospital based randomized control trial which included the babies born at 29-36 weeks of gestation. The babies were randomized to two intervention groups; cord milking and delayed cord clamping group. Detailed clinical history taken, including details of labour and clinical examination. Blood samples were analysed for ferritin as required at 6 weeks of post-natal age.Results: Neonates under cord milking group had higher ferritin values (249.04±21.93 ng/mL) as compared to those neonates under delayed cord clamping group (179.66±32.94 ng/mL) and this was statistically very significant (p= <0.001).Conclusions: In preterm neonates, umbilical cord milking results in improved iron status as shown by higher ferritin values at 6 weeks of life. UCM can be a used as placental transfusion strategy in preterm neonates for improving iron status and preventing anemia of prematurity.

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