Umbilical Cord Milking in Infants Born at &lt

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,...

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Authors: Ortiz Esquinas, Inmaculada, Gómez Salgado, Juan, Rodríguez Almagro, Julián Javier, Arias Arias, Ángel, Ballesta Castillejos, Ana, Hernández Martínez, Antonio
Format: article
Publication Date:2020
Country:España
Institution:Universidad de Huelva (UHU)
Repository:Arias Montano. Repositorio Institucional de la Universidad de Huelva
Language:English
OAI Identifier:oai:ariasmontano.uhu.es:10272/18314
Online Access:http://hdl.handle.net/10272/18314
Access Level:Open access
Keyword:Umbilical cord milking
Delayed umbilical cord clamping
Preterm infants
Systematic review and meta-analysis
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spelling Umbilical Cord Milking in Infants Born at &lt37Weeks of Gestation: A Systematic Review and Meta-AnalysisOrtiz Esquinas, InmaculadaGómez Salgado, JuanRodríguez Almagro, Julián JavierArias Arias, ÁngelBallesta Castillejos, AnaHernández Martínez, AntonioUmbilical cord milkingDelayed umbilical cord clampingPreterm infantsSystematic review and meta-analysisUmbilical 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.MDPI20202020-04-0120202020-04-01journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10272/18314reponame:Arias Montano. Repositorio Institucional de la Universidad de Huelvainstname:Universidad de Huelva (UHU)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial-SinDerivadas 3.0 Españahttp://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:ariasmontano.uhu.es:10272/183142026-06-02T14:58:11Z
dc.title.none.fl_str_mv Umbilical Cord Milking in Infants Born at &lt
37Weeks of Gestation: A Systematic Review and Meta-Analysis
title Umbilical Cord Milking in Infants Born at &lt
spellingShingle Umbilical Cord Milking in Infants Born at &lt
Ortiz Esquinas, Inmaculada
Umbilical cord milking
Delayed umbilical cord clamping
Preterm infants
Systematic review and meta-analysis
title_short Umbilical Cord Milking in Infants Born at &lt
title_full Umbilical Cord Milking in Infants Born at &lt
title_fullStr Umbilical Cord Milking in Infants Born at &lt
title_full_unstemmed Umbilical Cord Milking in Infants Born at &lt
title_sort Umbilical Cord Milking in Infants Born at &lt
dc.creator.none.fl_str_mv Ortiz Esquinas, Inmaculada
Gómez Salgado, Juan
Rodríguez Almagro, Julián Javier
Arias Arias, Ángel
Ballesta Castillejos, Ana
Hernández Martínez, Antonio
author Ortiz Esquinas, Inmaculada
author_facet Ortiz Esquinas, Inmaculada
Gómez Salgado, Juan
Rodríguez Almagro, Julián Javier
Arias Arias, Ángel
Ballesta Castillejos, Ana
Hernández Martínez, Antonio
author_role author
author2 Gómez Salgado, Juan
Rodríguez Almagro, Julián Javier
Arias Arias, Ángel
Ballesta Castillejos, Ana
Hernández Martínez, Antonio
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Umbilical cord milking
Delayed umbilical cord clamping
Preterm infants
Systematic review and meta-analysis
topic Umbilical cord milking
Delayed umbilical cord clamping
Preterm infants
Systematic review and meta-analysis
description 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.
publishDate 2020
dc.date.none.fl_str_mv 2020
2020-04-01
2020
2020-04-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10272/18314
url http://hdl.handle.net/10272/18314
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial-SinDerivadas 3.0 España
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial-SinDerivadas 3.0 España
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Arias Montano. Repositorio Institucional de la Universidad de Huelva
instname:Universidad de Huelva (UHU)
instname_str Universidad de Huelva (UHU)
reponame_str Arias Montano. Repositorio Institucional de la Universidad de Huelva
collection Arias Montano. Repositorio Institucional de la Universidad de Huelva
repository.name.fl_str_mv
repository.mail.fl_str_mv
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