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

• DOI: 10.4236/ojog.2018.811104
• Publication Date: 2018-09-19T07:20:17Z
• Authors: Swosti Joshi; Mopelola Akintorin; Alison Wiles; Annamarie Arias; Louis Fogg; Tuan Nguyen
• Keywords: Milking; Necrotizing Enterocolitis; Cord clamping; Apgar score

Background: Delayed cord clamping (DCC) and umbilical milking (UCM) are two recently advocated interventions to enhance placental transfusion at birth. DCC MCM might increase blood volume help neonates transition from fetal neonatal circulation. Objective: To evaluate the effects of delayed (DCC), (UCM), immediate (ICC) on very low birth weight (VLBW) neonates. Methods: At our institution, ICC was routinely done until December, 2012 when it replaced by DCC. UCM implemented in March, 2015. Neonatal outcomes were compared among ICC, DCC, UCM. Results: A total 94 met inclusion criteria. Comparing with neonates, had higher hematocrits, fewer transfusions, lower incidence chronic lung disease 36 completed weeks gestation. All groups similar APGAR scores, vasopressor use, intraventricular hemorrhage (IVH) necrotizing enterocolitis (NEC). Conclusion: Compared appear be more beneficial VLBW without apparent adverse risks.