Cut umbilical cord milking: an ineffective method of placental transfusion in preterm infants?. (16th September 2020)

• Record Type: Journal Article
• Authors: Simonin, Ann; Safarulla, Azif; Farmer, Zachary; Coleman, Joshua; Sutton, Danielle; Wheeler, Kelli; Waller, Jennifer; Bhatia, Jatinder
• Is Part Of: Journal of maternal-fetal & neonatal medicine. Volume 33:Number 18(2020)
• Page Start: 3132
• Page End: 3135
• Publication Date: 2020-09-16
• Subjects: Neonate -- neonatology -- placental transfusion -- preterm -- umbilical cord milking; Obstetrics -- Periodicals; Perinatology -- Periodicals; Infants (Newborn) -- Diseases -- Periodicals; Neonatology -- Periodicals; 618.2
• DOI: 10.1080/14767058.2019.1569616
• Languages: English
• ISSNs: 1476-7058

Abstract

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.