Umbilical Cord Milking Versus Delayed Cord Clamping in Preterm Infants.

ABSTRACT:

Background and objective

Delayed cord clamping (DCC) is recommended for premature infants to improve blood volume. Most preterm infants are born by cesarean delivery (CD), and placental transfusion may be less effective than in vaginal delivery (VD). We sought to determine whether infants <32 weeks born by CD who undergo umbilical cord milking (UCM) have higher measures of systemic blood flow than infants who undergo DCC.

Methods

This was a 2-center trial. Infants delivered by CD were randomly assigned to undergo UCM or DCC. Infants delivered by VD were also randomly assigned separately. UCM (4 strippings) or DCC (45-60 seconds) were performed. Continuous hemodynamic measurements and echocardiography were done at site 1.

Results

A total of 197 infants were enrolled (m

SUBMITTER: Katheria AC 

PROVIDER: S-EPMC4485011 | biostudies-literature | 2015 Jul

REPOSITORIES: biostudies-literature