Cord milking in non-vigorous infants: promising, but further information is needed

Commentary on: Katheria AC, Clark E, Yoder B, et al. Umbilical cord milking in nonvigorous infants: a cluster-randomized crossover trial. Am J Obstet Gynecol. 2022;S0002-9378(22:)00649-4. doi: 10.1016/j.ajog.2022.08.015. Implications for practice and research Intact umbilical cord milking (UCM), when compared to early cord clamping can result in higher haemoglobin levels and potentially better haemodynamic stability in non-vigorous term and late preterm infants. Clinical trials addressing long-term efficacy and safety of UCM in such infants are required. Context Delayed cord clamping, a placental transfusion strategy, may be difficult to implement in infants requiring resuscitation at birth. Umbilical cord milking (UCM) could be an alternative approach in such infants. While UCM has been shown to improve short-term outcomes in vigorous infants,1 2 there is limited information on non-vigorous infants. Recent evidence has highlighted the risk of severe intraventricular haemorrhage with UCM in extremely...
Source: Evidence-Based Nursing - Category: Nursing Authors: Tags: Women's Health and Midwifery Commentary Source Type: research