The haemodynamic effects of umbilical cord milking in term infants: a randomised controlled trial
Introduction: Umbilical cord milking (UCM) is a method that allows for postnatal placental transfusion. The benefits of UCM have been demonstrated in some studies, but knowledge about its haemodynamic effects in term infants is limited. The aim of this study was to evaluate the haemodynamic effects...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer – Medknow Publications
2023-07-01
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| Series: | Singapore Medical Journal |
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| Online Access: | https://journals.lww.com/10.11622/smedj.2022041 |
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| author | Mehmet Tekin Mahmut Gokdemir Erzat Toprak Musa Silahli Hasan Energin Zeynel Gokmen |
| author_facet | Mehmet Tekin Mahmut Gokdemir Erzat Toprak Musa Silahli Hasan Energin Zeynel Gokmen |
| author_sort | Mehmet Tekin |
| collection | DOAJ |
| description | Introduction:
Umbilical cord milking (UCM) is a method that allows for postnatal placental transfusion. The benefits of UCM have been demonstrated in some studies, but knowledge about its haemodynamic effects in term infants is limited. The aim of this study was to evaluate the haemodynamic effects of UCM in term infants.
Methods:
In this prospective, randomised controlled study, 149 healthy term infants with a birth week of ≥37 weeks were randomly assigned to either the UCM or immediate cord clamping (ICC) group. Blinded echocardiographic evaluations were performed in all the neonates in the first 2–6 h.
Results:
Superior vena cava (SVC) flow measurements were higher in the UCM group compared to the ICC group (132.47 ± 37.0 vs. 126.62 ± 34.3 mL/kg/min), but this difference was not statistically significant. Left atrial diameter (12.23 ± 1.99 vs. 11.43 ± 1.78 mm) and left atrium-to-aorta diastolic diameter ratio (1.62 ± 0.24 vs. 1.51 ± 0.22) were significantly higher in the UCM group. There were no significant differences in other echocardiographic parameters between the two groups.
Conclusıon:
We found no significant difference in the SVC flow measurements in term infants who underwent UCM versus those who underwent ICC. This lack of significant difference in SVC flow may be explained by the mature cerebral autoregulation mechanism in term neonates. |
| format | Article |
| id | doaj-art-e21cfb466b444587893c5319f3dacdbe |
| institution | Kabale University |
| issn | 0037-5675 2737-5935 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | Wolters Kluwer – Medknow Publications |
| record_format | Article |
| series | Singapore Medical Journal |
| spelling | doaj-art-e21cfb466b444587893c5319f3dacdbe2025-02-09T13:52:16ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352023-07-0164743944310.11622/smedj.2022041The haemodynamic effects of umbilical cord milking in term infants: a randomised controlled trialMehmet TekinMahmut GokdemirErzat ToprakMusa SilahliHasan EnerginZeynel GokmenIntroduction: Umbilical cord milking (UCM) is a method that allows for postnatal placental transfusion. The benefits of UCM have been demonstrated in some studies, but knowledge about its haemodynamic effects in term infants is limited. The aim of this study was to evaluate the haemodynamic effects of UCM in term infants. Methods: In this prospective, randomised controlled study, 149 healthy term infants with a birth week of ≥37 weeks were randomly assigned to either the UCM or immediate cord clamping (ICC) group. Blinded echocardiographic evaluations were performed in all the neonates in the first 2–6 h. Results: Superior vena cava (SVC) flow measurements were higher in the UCM group compared to the ICC group (132.47 ± 37.0 vs. 126.62 ± 34.3 mL/kg/min), but this difference was not statistically significant. Left atrial diameter (12.23 ± 1.99 vs. 11.43 ± 1.78 mm) and left atrium-to-aorta diastolic diameter ratio (1.62 ± 0.24 vs. 1.51 ± 0.22) were significantly higher in the UCM group. There were no significant differences in other echocardiographic parameters between the two groups. Conclusıon: We found no significant difference in the SVC flow measurements in term infants who underwent UCM versus those who underwent ICC. This lack of significant difference in SVC flow may be explained by the mature cerebral autoregulation mechanism in term neonates.https://journals.lww.com/10.11622/smedj.2022041echocardiographyinfantperinatal caresuperior vena cavaumbilical cord |
| spellingShingle | Mehmet Tekin Mahmut Gokdemir Erzat Toprak Musa Silahli Hasan Energin Zeynel Gokmen The haemodynamic effects of umbilical cord milking in term infants: a randomised controlled trial Singapore Medical Journal echocardiography infant perinatal care superior vena cava umbilical cord |
| title | The haemodynamic effects of umbilical cord milking in term infants: a randomised controlled trial |
| title_full | The haemodynamic effects of umbilical cord milking in term infants: a randomised controlled trial |
| title_fullStr | The haemodynamic effects of umbilical cord milking in term infants: a randomised controlled trial |
| title_full_unstemmed | The haemodynamic effects of umbilical cord milking in term infants: a randomised controlled trial |
| title_short | The haemodynamic effects of umbilical cord milking in term infants: a randomised controlled trial |
| title_sort | haemodynamic effects of umbilical cord milking in term infants a randomised controlled trial |
| topic | echocardiography infant perinatal care superior vena cava umbilical cord |
| url | https://journals.lww.com/10.11622/smedj.2022041 |
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