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

Abstract

Term-born Indian infants who had DCC at 60-90 seconds or UCM showed no significant differences in ferritin and haemoglobin levels and growth parameters at 12 months of age.

Effects of cord milking in late preterm infants and full‐term infants: A systematic review and meta‐analysis

“…The sample included 1845 newborns with GA between 34 6 and 41 6/7 weeks. The selected studies were conducted in the United States, 26 India, [27][28][29][30][31][32] Egypt, 33,34 and Italy. 35 The sample size of the studies ranged from 24 to 300 newborns.…”

“…35 The sample size of the studies ranged from 24 to 300 newborns. UCM was compared with DCC in six RCTs 28,29,[31][32][33][34] and ICC in four RCTs. 26,27,30,35 One RCT 28 included DCC as control and DCC with milking the cut cord (DCM).…”

“…Six studies [27][28][29]31,33,34 evaluated hemoglobin levels at 6 weeks after birth in newborns with GA ≥ 34, and no significant differences were found between the intervention and the control group. However, in four studies on 885 ≥ 37 GA newborns, 28,29,33,34 a significant decrease in hemoglobin levels at 6 weeks from birth was observed in the intervention group as compared to the control group (PWDM-0.16 g/L [−0.26 to −0.06]) ( Figure 2C,D, Table 2 and Table S2).…”

“…In the subanalysis by control group, when comparing the intervention group with the ICC group, only one study 27 showed an increase in hemoglobin levels at 6 weeks (PWDM 1.10 g/L [0.73 to 1.47]). However, in five studies evaluating UCM versus DCC, 28,29,31,33,34 hemoglobin levels at 6 weeks of birth were lower in the intervention group, as compared to the control group (PWDM-0.16 g/L [−0.26 to-0.06]) ( Table 2 and Table S2).…”

Uso de manobras de reanimação neonatal e internação em unidade de cuidado intensivo entre recém-nascidos de termo: análise secundária dos dados do estudo Nascer no Brasil

“…Deste modo, a proposta de novas práticas de cuidado ao cuidado ao recém-nascido avança no sentido de proteger o parto espontâneo e fisiológico. Tais práticas incluem a nova definição do termo gestacional, as vantagens do clampeamento tardio do cordão umbilical, o contato pele a pele com a mãe e o aleitamento materno a luz da primeira hora de vida (VENÂNCIO et al, 2008;SPONG et al, 2011;MOREIRA et al, 2014;ALMEIDA e GUINSBURG, 2016;AGARWAL et al, 2016 Recentemente tem sido observado um aumento nas taxas de nascimentos prematuros entre os países de renda média e alta, o que representa um aumento dos custos para os sistemas de saúde e dos danos neonatais (CHANG et al, 2013;LOFTIN et al, 2010;RAJU et al, 2006 et al, 2006). No contexto mundial, o aumento da prematuridade se dá principalmente pelo aumento dos nascimentos no período caracterizado como pré-termo tardio que, por sua vez se relacionam ao aumento das intervenções obstétricas como as induções do trabalho de parto e as cesarianas anteparto (SPONG et al, 2011;MORISAKI et al, 2014).…”