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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.
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 …
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.