@article{10272/18314,
year = {2020},
month = {4},
url = {http://hdl.handle.net/10272/18314},
abstract = {Umbilical cord milking (UCM) could be an alternative in cases where delayed umbilical cord
clamping cannot be performed, therefore our objective was to evaluate the effects ofUCMin newborns
<37 weeks’ gestation. In this systematic review and meta-analysis, we searched MEDLINE, EMBASE,
CINAHL, the Cochrane Database of Clinical Trials, the clinicaltrails.gov database for randomizedUCM
clinical trials with no language restrictions, which we then compared with other strategies. The sample
included 2083 preterm infants. The results of our meta-analysis suggest thatUCMin premature infants
can reduce the risk of transfusion (relative risk (RR)= 0.78 [95% confidence interval (CI),0.67–0.90])
and increase hemoglobin(pooled weighted mean difference (PWMD)= 0.89 g/L[95%CI 0.55–1.22]) and
mean blood pressure (PWMD=1.92 mmHg [95% CI 0.55–3.25]). Conversely, UCM seems to increase
the risk of respiratory distress syndrome (RR = 1.54 [95% CI 1.03–2.29]), compared to the control
groups. In infants born at <33 weeks,UCMwas associated with a reduced risk of transfusion (RR= 0.81
[95%CI 0.66–0.99]), as well as higher quantities of hemoglobin (PWMD= 0.91 g/L[95%CI 0.50–1.32]).
UCM reduces the risk of transfusion in preterm infants, and increases initial hemoglobin, hematocrit,
and mean blood pressure levels with respect to controls.},
publisher = {MDPI},
title = {Umbilical Cord Milking in Infants Born at <37Weeks of Gestation: A Systematic Review and Meta-Analysis},
doi = {10.3390/jcm9041071},
author = {Ortiz Esquinas, Inmaculada and Gómez Salgado, Juan and Rodríguez Almagro, Julián Javier and Arias Arias, Ángel and Ballesta Castillejos, Ana and Hernández Martínez, Antonio},
}