Cut umbilical cord milking: an ineffective method of placental transfusion in preterm infants?

Ann Simonin, Azif Safarulla, Zachary Farmer, Joshua Coleman, Danielle Sutton, Kelli Wheeler, Jennifer Waller, Jatinder Bhatia

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Objective: To determine if umbilical cord milking performed on a cut umbilical cord segment increased the hemoglobin/hematocrit, with a reduction in the incidence of intraventricular hemorrhage, need for blood transfusions, and pressor requirement in infants with <35-weeks gestation. Study design: This was a single center, observational study in the NICU. One-hundred-six neonates received cut umbilical cord milking and two hundred ninety seven served as historical controls. Result: There were no statistically significant differences between the two groups in hemoglobin/hematocrit, peak bilirubin values, the incidence of intraventricular hemorrhage, need for blood transfusions, and the use of pressors. Conclusion: This is the first study using the cut umbilical cord milking technique that includes neonates with <35-weeks gestation. The procedure is safe but did not result in an increase in hemoglobin/hematocrit, nor did it reduce the incidence of intraventricular hemorrhage, need for blood transfusions, and pressor use.

Original languageEnglish (US)
Pages (from-to)3132-3135
Number of pages4
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume33
Issue number18
DOIs
StatePublished - Sep 16 2020

Keywords

  • Neonate
  • neonatology
  • placental transfusion
  • preterm
  • umbilical cord milking

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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