Effect of Umbilical Cord Milking on Maternal and Neonatal Outcomes in a Tertiary Care Hospital in South India: A Randomized Control Trial

George, Anu Anna; Isac, Mini

doi:10.1007/s13224-021-01515-9

Cited by 7 publications

(2 citation statements)

References 19 publications

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“…The cord was then released at the placental end and allowed to refill with blood for a brief 1 to 3 seconds pause between each milking motion (12, 14, 18-24, 27, 29-36, 39-41, 42, 43, 45-49, 53, 58, 66, 69, 74, 76-78) . In general, the entire procedure was completed in not more than 30 s. After this, the umbilical cord was clamped and cut at 2-3 cm from the umbilicus and the infant taken to the warmer for routine newborn care (20,23,26,35,43,48,50,61,69,74,77) .…”

Section: Resultsmentioning

confidence: 99%

Umbilical Cord Milking in Newborns: Scoping Review

ALVES¹,

FREITAS²,

GAÍVA³

2022

CicyEnf

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Objective: To map the available evidence on umbilical cord milking in newborns. Material and Method: Scoping Review based on the protocol proposed by the Joanna Briggs Institute. A search for full-text articles published in MEDLINE, SCOPUS, WOS and CINAHL was carried out using the following keywords: infant, newborn, umbilical cord milking, placental transfusion and umbilical cord blood. Results: The results indicated umbilical cord milking has superior benefits to the immediate cord clamping, among the main ones are higher levels of Hemoglobin, Hematocrit and Serum Ferritin, and reduction of complications in preterm newborns, such as intraventricular hemorrhage and the need for blood transfusion. When compared to delayed cord clamping, it has similar benefits, but milking is considered a faster method of placental blood transfusion. Conclusions: Umbilical cord milking has similar potential to delayed cord clamping. Therefore, it can be an alternative for obstetric nurses and midwives when delayed cord clamping cannot be performed in order to ensure the benefits of placental transfusion to the neonate.

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Section: Resultsmentioning

confidence: 99%

Umbilical Cord Milking in Newborns: Scoping Review

ALVES¹,

FREITAS²,

GAÍVA³

2022

CicyEnf

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show abstract

“…It was designed by the researchers after reviewing related literature (Song et al, 2017;Katheria et al, 2019;Nagy et al, 2021;George & Isac, 2022)…”

Section: Instrumentsmentioning

confidence: 99%

Effect of Umbilical Cord Milking on Selected Maternal and Premature Neonatal Outcomes among Women with Placental Insuffiency

Fathala

Mohamed

Nouh

2023

Menoufia Nursing Journal

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Background: Placental insufficiency is one of the highly prevalent clinical concerns in obstetrics. It is becoming increasingly obvious that its presence significantly affects fetus and placenta, with ramifications on the metabolic, cardiovascular, and neurological development until adulthood. Purpose: To assess the effect of umbilical cord milking (UCM) on selected maternal and premature neonatal outcomes among women with placental insufficiency. Design: Quasi experimental design. Setting: Obstetrics and Neonatal Intensive Care Units (NICU) in Menoufia University Hospital at Shebin El-Koom. Sampling: A purposive sample of 80 pregnant women diagnosed with placental insufficiency and their premature neonates was included. Instruments: For data collection three instruments were used. Instrument one: Characteristics of pregnant women and premature neonates' assessment sheet. Instrument two: maternal health outcomes assessment sheet. Instrument three: preterm neonates' health outcomes assessment sheet. Results: Premature neonates in the study group had elevated CD34(1.13 ± .65 vs .40 ± .20), hematocrit percentage (48.25 ± 5.71vs 40.47 ± 3.37), and hemoglobin (Hb) (17.37 ±.95 vs 14.18 ± .78) within 24 h of life than premature neonates in the control group. No statistical significant differences were found between studied women in relation to duration of third stage of labor or occurrence of postpartum hemorrhage (PPH). Conclusion: Performing UCM for premature neonates elevated CD34 percentage and Hb levels (at birth and at 2 months), reduced their need for PRBCs transfusion and reduced the duration of oxygen management. However, it did not influence the length of third stage of labor or maternal PPH. Recommendations:Further studies related to UCM should be developed to a larger number for pregnant women and neonate in other units assure the generalizability of the research results.

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2024 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces

Greif,

Bray,

Djärv

et al. 2024

Resuscitation

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Effect of Umbilical Cord Milking on Maternal and Neonatal Outcomes in a Tertiary Care Hospital in South India: A Randomized Control Trial

Cited by 7 publications

References 19 publications

Umbilical Cord Milking in Newborns: Scoping Review

Umbilical Cord Milking in Newborns: Scoping Review

Effect of Umbilical Cord Milking on Selected Maternal and Premature Neonatal Outcomes among Women with Placental Insuffiency

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