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

Author:

Kilicdag Hasan1,Karagun Barbaros Sahin2,Antmen Ali Bulent2,Candan Erdal3,Erbas Hale3

Affiliation:

1. Department of Pediatrics, Division of Neonatology, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey

2. Department of Pediatrics Hematology, Adana Acibadem Hospital, Adana, Turkey

3. Department of Obstetrics and Gynecology, Adana Acibadem Hospital, Adana, Turkey

Abstract

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

Publisher

Georg Thieme Verlag KG

Subject

Obstetrics and Gynaecology,Pediatrics, Perinatology, and Child Health

Reference34 articles.

1. Placental transfusion: a review;A C Katheria;J Perinatol,2017

2. Measuring placental transfusion for term births: weighing babies with cord intact;D Farrar;BJOG,2011

3. Distribution of blood between infant and placenta after birth;A C Yao;Lancet,1969

4. Placental transfusion-rate and uterine contraction;A C Yao;Lancet,1968

5. Optimal timing of umbilical cord clamping: is the debate settled? Part 1 of 2;A JH Kim;History, Rationale, Influencing Factors, and Concerns NeoReviews,2015

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