Umbilical cord milking at birth for term newborns with acidosis: neonatal outcomes

作者：Katheria Anup^*; Mercer Judith; Brown Melissa; Rich Wade; Baker Katie; Harbert M. J.; Pierce Brianna; Hassen Kasim; Finer Neil

来源：Journal of Perinatology, 2018, 38(3): 240-244.

DOI：10.1038/s41372-017-0011-9

Objective To determine if umbilical cord milking is detrimental in compromised term/near-term infants.
Study Design A retrospective analysis of infants with abnormal cord gases (cord arterial or venous pH of <= 7.1 or base deficit > 12). We collected maternal risk factors, cord management, birth, and neonatal outcomes during hospitalization.
Result We found 157 infants who met the criteria for abnormal cord gases. Thirty-six of those had umbilical cord milking at delivery. There was no significant difference in neonatal outcomes, but fewer infants in the cord milking group needed resuscitation (38 vs. 56%, p = 0.07) and ongoing respiratory support (19 vs. 31%, p = 0.16) compared to the immediate clamping group.
Conclusions While not significant, infants who received cord milking at birth needed less resuscitation and ongoing respiratory support. This study suggests that umbilical cord milking appears to be a safe therapy when acidosis is present and when resuscitation is needed.

• 出版日期2018-3