Comparison of Umbilical Cord Milking Versus Delayed Cordclamping in Term Neonates: Randomised Control Study
DOI:
https://doi.org/10.37506/prtrmt69Keywords:
Umbilical cord milking (UCM), delayed cord clamping (DCC), Term neonate.Abstract
Background: Objectives: To study the effect of delayed cord clamping and milking of umbilical cord on Clinicohematological parameters in term infants.
Materials and method: The study was conducted in Muzaffarnagar medical college, muzaffarnagar. Total sample size was determined to be 100 patients fulfilling the inclusion criteria. All neonates born via normal vaginal or caesarean section in Department of Obstetrics and Gynaecology fulfilling the inclusion criteria were included in this study. A detailed history, complete physical examination & required investigations as per protocol were done for all patients.
Results: No significant differences in baseline characteristic and clinical-hemato parameters of both the groups were noticed except high bilirubin and Low APGAR score @ 1 minute in delayed cord clamping
Conclusion: Umbilical cord Milking suggested to be as non- inferior to delayed cord clamping in Term Neonates, however further study need to be done
References
WHO.Guideline:Delayed umbilical cord clamping for
improved maternal and infant health and nutrition
outcome. World Health Organization;2014.Available
from:https:www.who.int/nutrition/publications/
guidelines/cord_clamping/eng.pdf. Accessed
January 10th 2018.
Kinmond S, Aitchison TC, Holland BM, Jones JG,
Turner TL, Wardrop CA. Umbilical cord clamping
and preterm infants: a randomised trial. B M J.
;306(6871):172-5.
Andersson O, Hellström-Westas L, Andersson D,
Domellöf M. Effect of delayed versus early umbilical
cord clamping on neonatal outcomes and iron status
at 4 months: a randomised controlled trial. BMJ.
;343;d7157.
Katheria A, Blank D, Rich W, Finer N. Umbilical cord
milking improves transition in premature infants at
birth. PloS one. 2014;9(4): e94085.
Bhatt S, Polglase GR, Wallace EM, Te Pas AB, Hooper
SB. Ventilation before umbilical cord clamping
improves the physiological transition at birth. Frontiers
Pediatr. 2014;2:113.
Mercer JS, Vohr BR, McGrath MM, Padbury JF, Wallach
M, Oh W. Delayed cord clamping in very preterm
infants reduces the incidence of intraventricular
hemorrhage and late-onset sepsis: a randomized,
controlled trial. Pediatr. 2006;117(4):1235-42.
Oh W, Fanaroff AA, Carlo WA, Donovan EF,
McDonald SA, Poole WK. Effects of delayed cord
clamping in very-low-birth-weight infants. J Perinatol.
;31(S1): S68.
L. Duley, J. Drife, A. Soe, and A. Weeks, “Clamping of
the umbilical cord and placental transfusion,” RCOG
Scientific Impact Paper No. 14, 2015.
Katheria AC, Truong G, Cousins L, Oshiro B, Finer
NN. Umbilical Cord Milking Versus Delayed
Cord Clamping in Preterm Infants. Pediatrics.
;136(1):61-9.
Al-Wassia H, Shah PS. Efficacy and safety of umbilical
cord milking at birth: a systematic review and metaanalysis.
JAMA Pediatr2015;169:18-25. .
Rabe H. Effects of a slight delay in cord clamping
time versus milking the cord in preterm infants.
Current Controlled Trials (www.controlled-trials.com)
(accessed 21 June 2007)2007.
S. Agarwal, V. Jaiswal, D. Singh, P. Jaiswal, A. Garg,
and A. Upadhyay, “Randomised control trial showed
that delayed cord clamping and milking resulted in
no significant differences in iron stores and physical
growth parameters at one year of age,” ActaPaediatrica,
vol. 105, no. 11, pp. e526– e530, 2016
P. Jaiswal, A. Upadhyay, S. Gothwal, H. Chaudhary,
and A. Tandon, “Comparison of umbilical cord milking
and delayed cord clamping on cerebral blood flow in
term neonates,” The Indian Journal of Pediatrics, vol.
, no. 10, pp. 890–895, 2015.
McDonald SJ, Middleton P, Dowswell T, Morris PS.
Effect of timing of umbilical cord clamping of term
infants on maternal and neonatal outcomes. Cochrane
Database of Systematic Reviews. 2013(7):CD004074.
De Bernardo G, Giordano M, De Santis R, et al. A
randomized controlled study of immediate versus
delayed umbilical cord clamping in infants born by
elective caesarean section. Ital J Pediatr. 2020;46(1):71.
Jaleel R, Deeba F, Khan A. Timing of umbilical cord
clamping and neonatal haematological status. J Pak
Med Assoc. 2009;59(7):468-70.
Rheenen PV, Moor LD, Eschbach S, de Grooth H,
Brabin B. Delayed cord clamping and haemoglobin
levels in infancy: a randomised controlled trial in term
babies. Trop Med Int Health. 2007;12(5):603–616
Kc A, Singhal N, Gautam J, Rana N, Andersson
O. Effect of early versus delayed cord clamping in
neonate on heart rate, breathing and oxygen saturation
during first 10 minutes of birth - randomized clinical
trial. Matern HealthNeonatolPerinatol. 2019;5:7.
A. Katheria, J. Mercer, M. Brown et al., “Umbilical
cord milking at birth for term newborns with acidosis:
Neonatal outcomes,” Journal of Perinatology, vol. 38,
no. 3, pp. 240–244, 2018
Kumar RJ et al, Effect of Umbilical Cord Milking
on Severity of Hypoxic Ischemic Encephalopathy
in Asphyxiated Neonates: A Pilot Study. J Forensic
Biomech.,Vol 12: 381,2021
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