Umbilical cord milking in term infants delivered by cesarean section: a randomized controlled trial

被引：82

作者：

Erickson-Owens, D. A. ^{[1
]}

Mercer, J. S. ^{[1
]}

Oh, W. ^{[2
]}

机构：

[1] Univ Rhode Isl, Coll Nursing, Kingston, RI 02881 USA

[2] Brown Univ, Warren Alpert Med Sch, Providence, RI 02912 USA

来源：

JOURNAL OF PERINATOLOGY | 2012年 / 32卷 / 08期

关键词：

umbilical cord stripping; umbilical cord clamping; cord clamping; placental transfusion; placental residual blood volume; IRON-DEFICIENCY; BLOOD VOLUME; NEWBORN; BORN;

D O I：

10.1038/jp.2011.159

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: The study's objective was to compare hematocrit (Hct) levels at 36 to 48 h of age in term infants delivered by cesarean section exposed to immediate cord clamping or umbilical cord milking (UCM). Study Design: In this randomized controlled trial, 24 women scheduled for elective cesarean section were randomized to either immediate clamping (<10 s) or UCM (milked x 5 by the obstetrical provider) at birth. Result: All subjects received their allocated intervention. The milking group had a smaller placental residual blood volume (13.2 +/- 5.6 vs 19.2 +/- 5.4 ml kg(-1), P = 0.01) and higher Hct levels at 36 to 48 h (57.5 +/- 6.6 vs 50.0 +/- 6.4 %, P = 0.01). Five infants (42%) in the immediate group had a Hct of <= 47%, indicative of anemia. Conclusion: UCM results in placental transfusion in term infants at the time of elective cesarean section with higher Hct levels at 36 to 48 h of age. Journal of Perinatology (2012) 32, 580-584; doi: 10.1038/jp.2011.159; published online 17 November 2011

引用

页码：580 / 584

页数：5

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