Blood pressure and urine output during the first 120 h of life in infants born at less than 29 weeks' gestation related to umbilical cord milking

Abstract

Umbilical cord milking may facilitate early stabilisation of both blood pressure and urine output in very low birth weight infants.

Effects of umbilical cord milking compared to differed cord clamping in term infants, a randomized controlled trial

“…If this amount could be forced to the fetus it might have increased the Hb in the newborns of UCM arm further. Previous studies conducted had different number of sweeps (ranging from two to four) used for UCM 9,22,24 . Our method consisted of only three sweeps of the cord.…”

“…www.slcog.lk/sljog contraindicated in a very preterm neonate requiring ventilator support when a delay of even 30-40 seconds would be detrimental 8,9 . Other risks of DCC are transient tachypnea 10 , symptomatic polycythaemia 11 , increased blood viscosity 12 and hyperbilirubinaemia 13 of the term infant.…”

Evidence-Based Advances in Transfusion Practice in Neonatal Intensive Care Units

“…Although the definition for delayed cord clamping varied from 30 to 120 s, delayed cord clamping was associated with higher hematocrits 4 h after birth, 50% fewer transfusions for anemia or hypotension, and less intraventricular hemorrhage (IVH) [14]. While some were studying delayed cord clamping, others were investigating umbilical cord milking as a more rapid alternative [15,16]. By 2012, a Cochrane review including randomized controlled trials on delayed cord clamping up to 180 s or umbilical cord milking versus immediate cord clamping contained fifteen studies [14].…”

Umbilical Cord Blood—An Untapped Resource

“…This finding is consistent with previous studies on MUC. 16,17 Although no studies on SVC (superior vena cava) flow have been done following DCC, blood pressure has been shown to be improved after DCC compared with ICC. 18 For DCC to effectively transfuse placental blood to the newly delivered neonate, fetal blood in the placenta must continue to transfer into the neonate for a period, that is, potentially until the umbilical cord is clamped or cord pulsations cease.…”