Effects of Placental Transfusion by Delayed Cord Clamping or Umbilical Cord Milking Versus Immediate Cord Clamping on Neonatal Outcomes in Very Low Birth Weight Neonates: A Recent Study

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Effects of Placental Transfusion by Delayed Cord Clamping or Umbilical Cord Milking Versus Immediate Cord Clamping on Neonatal Outcomes in Very Low Birth Weight Neonates: A Recent Study

May 28, 2021 Medicine and Medical 0

Background: Delayed cord clamping (DCC) and umbilical cord milking (UCM) are two newer techniques for improving placental transfusion during birth. DCC and UCM may aid neo-nates migrate from foetal to neonatal circulation by increasing blood volume. The goal of this study was to see how delayed cord clamping (DCC), umbilical cord milking (UCM), and instant cord clamping (ICC) affected VLBW neo-nates. Methodologies: ICC was used at our university until December 2012, when it was replaced by DCC. In March of 2015, UCM was implemented. The ICC, DCC, and UCM neonatal outcomes were compared. Results: A total of 94 neonates met the criteria for inclusion. DCC and UCM newborns exhibited greater hematocrits, fewer blood transfusions, and a reduced prevalence of chronic lung disease at 36 weeks of gestation than ICC neonates. In terms of APGAR scores, vasopressor use, intraventricular haemorrhage (IVH), and necrotizing enterocolitis, all groups were identical (NEC). Conclusion: DCC and UCM appear to be more advantageous to VLBW infants than ICC, with no apparent hazards. Both methods appear to be superior to ICC in enhancing placental transfusion and may be considered as an option in the birth of VLBW newborns to improve outcomes.

Author(s) Details

Swosti Joshi
Division of Neonatology, John H Stroger Hospital of Cook County, Chicago, IL, USA.

Mopelola Akintorin
Department of Pediatrics, John H Stroger Hospital of Cook County, Chicago, IL, USA.

Alison Wiles
Chicago Medical School at Rosalind Franklin University of Medical Sciences, Chicago, IL, USA.

Annamarie Arias
Department of Pediatrics, John H Stroger Hospital of Cook County, Chicago, IL, USA.

Louis Fogg
Division of Statistics, Rush University Medical Center, Chicago, IL, USA.

Tuan Nguyen
Department of Obstetrics and Gynecology, John H Stroger Hospital of Cook County, Chicago, IL, USA.

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