Is umbilical cord milking always an advantage?

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Hasan KilicdagBulent Ali Antmen

Abstract

The role of cord milking as an alternative to delayed cord clamping is an area that requires more research. Purpose of this clinical trial was to investigate the impact of umbilical cord milking on the absolute neutrophil counts (ANCs) and the neutropenia frequency of preterm infants. Fifty-eight pregnant women were randomly assigned to one of the umbilical cord milking and control groups. A total of 54 preterm infants (gestational age ≤ 32 weeks) were enrolled into the study. The umbilical cords of 25 infants were clamped immediately after birth, and in 29 infants, umbilical cord milking was performed first. The ANCs were statistically significantly lower in the cord milking group compared with the control group on days 1, 3 and 7. The frequency of neutropenia was higher in the cord milking group compared with the control group. In our study, ANCs were lower in the cord milking group and the frequency of neutropenia was higher. Umbilical cord milking plays a role on the ANCs of preterm infants.

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Citations

Sep 18, 2016·Gynécologie, obstétrique & fertilité·G Sorin, B Tosello
Jun 12, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Juan LiXiao-Qin Gan
Feb 7, 2019·Journal of Perinatology : Official Journal of the California Perinatal Association·J D ToledoM Vento
Apr 15, 2020·Journal of Clinical Medicine·Inmaculada Ortiz-EsquinasAntonio Hernández-Martínez
Mar 11, 2020·Archives of Disease in Childhood. Fetal and Neonatal Edition·Haribalakrishna BalasubramanianNandkishor Kabra
Nov 4, 2017·American Journal of Obstetrics and Gynecology·Michael FogartyWilliam Tarnow-Mordi
Feb 27, 2021·Pediatrics·Anna Lene SeidlerUNKNOWN INTERNATIONAL LIAISON COMMITTEE ON RESUSCITATION NEONATAL LIFE SUPPORT TASK FORCE

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