Short-term efficacy of umbilical cord milking in preterm infants: Systematic review and meta-analysis
Pediatric Research Apr 24, 2020
Barboza JJ, Albitres-Flores L, Rivera-Meza M, et al. - In the present study, the researchers sought to systematically assess short-term effectiveness of umbilical cord milking (UCM) vs other interventions in preterm infants. Fourteen randomized controlled trials [RCTs] (n = 1708) have been involved. According to results, UCM did not decrease mortality, intraventricular hemorrhage (IVH), or patent ductus arteriosus (PDA) in comparison to immediate cord clamping. UCM, however, reduced need of blood transfusion and increased mean blood pressure (MBP), hemoglobin (Hb), and ferritin. UCM did not reduce mortality, IVH, PDA, or need of blood transfusion in comparison to delayed cord clamping but increased MBP and Hb. Only two RCTs were at high risk of bias. With UCM, intermediate results significantly improved.
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