TY - JOUR
T1 - Cut umbilical cord milking
T2 - an ineffective method of placental transfusion in preterm infants?
AU - Simonin, Ann
AU - Safarulla, Azif
AU - Farmer, Zachary
AU - Coleman, Joshua
AU - Sutton, Danielle
AU - Wheeler, Kelli
AU - Waller, Jennifer
AU - Bhatia, Jatinder J
PY - 2020/9/16
Y1 - 2020/9/16
N2 - 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.
AB - 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.
KW - Neonate
KW - neonatology
KW - placental transfusion
KW - preterm
KW - umbilical cord milking
UR - http://www.scopus.com/inward/record.url?scp=85061031030&partnerID=8YFLogxK
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U2 - 10.1080/14767058.2019.1569616
DO - 10.1080/14767058.2019.1569616
M3 - Article
C2 - 30714439
AN - SCOPUS:85061031030
SN - 1476-7058
VL - 33
SP - 3132
EP - 3135
JO - Journal of Maternal-Fetal and Neonatal Medicine
JF - Journal of Maternal-Fetal and Neonatal Medicine
IS - 18
ER -