Umbilical Cord Management in Late Preterm and Term Infants: A Randomized Controlled Trial
AMERICAN JOURNAL OF PERINATOLOGY(2022)
Abstract
Objective The study aimed to compare the effects of three different methods of umbilical cord management on hematological parameters in term and late-preterm infants. Study Design A randomized controlled trial comparing intact-umbilical cord milking (I- UCM) with cut-umbilical cord milking (C-UCM) and immediate cord clamping (ICC) in neonates born >35 weeks' gestation. Results A total of 587 infants were evaluated. Of these, 197 were assigned to I-UCM, 190 to C- UCM, and 200 to ICC. Mean hemoglobin and hematocrit levels at 48 hours of age were higher in I-UCM group compared with the ICC group (p = 0.002 and p = 0.010, respectively) Conclusion These findings suggest that I- UCM is more beneficial choice. Further trials are needed to assess the various long- and short-term effects of different cord milking methods.of different cord milking methods.
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Key words
umbilical cord milking,intact-umbilical cord milking,cut-umbilical cord milking,newborn
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