Effect of Umbilical Cord Milking on Transition of Preterm Babies during Resuscitation

Mostafa , Mohamed F.; Abushady , Nancy M.; Rabie , Dina E. A.; El-Beltagy , Ahmed A. A.

doi:10.12816/0055793

Article Details

Effect of Umbilical Cord Milking on Transition of Preterm Babies during Resuscitation

Authors:

Mostafa , Mohamed F. | Abushady , Nancy M. | Rabie , Dina E. A. | El-Beltagy , Ahmed A. A.

Publisher:

Ain Shams University : Egyptian Paediatric Society

Main Topics:

Medicine

Journal:

Egyptian Journal of Pediatrics 2020 Vol.37 Issue 1, pp.11-21

Document Type:

Article

Publication Date:

3/2020

Document Language:

English

Document ID (Org No.):

141338

Frequency:

Quarterly

pISSN:

16871677

DOI:

10.12816/0055793

Descriptors:

Keywords:

Abstract:

 Background: The umbilical cord milking is a controversial technique where the umbilical cord is squeezed several times before it is clamped and cut. While not physiological or natural for newborns, the question lies as to whether it is useful in certain circumstances, namely the depressed newborn.
Objectives: The aim of the current study was to investigate the influence of active umbilical cord (UC) Milking before cord clamping compared to immediate cord clamping on cardio-respiratory outcomes as heart rate and ventilator parameters as mean airway pressure of preterm babies born between 28 and 34 completed weeks of gestational age requiring resuscitation according to neonatal resuscitation programme.
Patients and Methods: For that purpose we included 103 Neonates with gestational age between 28- 34 weeks requiring resuscitation in Tanta University hospitals From Jan to Dec, 2018. These were divided into two groups, Group A received UC milking as we compressed the blood of cord into the infant over 2-3 seconds for 3 times and group B was the control group who received immediate cord clamping. All data as heart rate and mean airway pressure were recorded at single time points every 30 seconds from the time the baby placed on the warmed bed till 10 minutes.
Results: The results showed that there were no significant differences between the two groups as regards basic criteria and demographic data including age, sex, gestational age (GA), diabetes mellitus (DM), hypertension (HTN), gestational diabetes mellitus (GDM) and indications for resuscitation. The results also showed that there were significant differences between the two groups as regards heart rate (HR) and mean airway pressure (MAP). This means that umbilical cord milking may provide a benefit regarding these parameters and therefore smoother transition of depressed preterm infants.
Conclusion: UC milking technique may help to improve vital signs like heart rate and ventilator parameters as MAP compared to immediate cord clamping.

Article Details

Effect of Umbilical Cord Milking on Transition of Preterm Babies during Resuscitation

Authors:

Mostafa , Mohamed F. | Abushady , Nancy M. | Rabie , Dina E. A. | El-Beltagy , Ahmed A. A.

Publisher:

Ain Shams University : Egyptian Paediatric Society

Main Topics:

Medicine

Journal:

Egyptian Journal of Pediatrics 2020 Vol.37 Issue 1, pp.11-21

Document Type:

Article

Publication Date:

3/2020

Document Language:

English

Document ID (Org No.):

141338

Frequency:

Quarterly

pISSN:

16871677

DOI:

10.12816/0055793

Descriptors:

PAEDIATRICS

UMBILICAL CORD

RESUSCITATION

NEWBORNS

Umbilical Cord Milking

Preterm Babies

Resuscitation

Issues

Article Details

Authors: Mostafa , Mohamed F. | Abushady , Nancy M. | Rabie , Dina E. A. | El-Beltagy , Ahmed A. A.

Publisher: Ain Shams University : Egyptian Paediatric Society

Main Topics: Medicine

Journal: Egyptian Journal of Pediatrics 2020 Vol.37 Issue 1, pp.11-21

Document Type: Article

Publication Date: 3/2020

Document Language: English

Document ID (Org No.): 141338

Frequency: Quarterly

pISSN: 16871677

DOI: 10.12816/0055793

Descriptors:

Issues

Authors:

Mostafa , Mohamed F. | Abushady , Nancy M. | Rabie , Dina E. A. | El-Beltagy , Ahmed A. A.

Publisher:

Ain Shams University : Egyptian Paediatric Society

Main Topics:

Medicine

Journal:

Egyptian Journal of Pediatrics 2020 Vol.37 Issue 1, pp.11-21

Document Type:

Article

Publication Date:

3/2020

Document Language:

English

Document ID (Org No.):

141338

Frequency:

Quarterly

pISSN:

16871677

DOI:

10.12816/0055793