Umbilical Cord Milking: A Review.
1Sharp Mary Birch Hospital for Women & Newborns, San Diego, CA, United States.
Frontiers in Pediatrics
|December 1, 2018
Summary
Umbilical cord milking, a non-physiological technique, is reviewed for its potential use in depressed newborns. This review explores its viability as an alternative to delayed cord clamping.
Area of Science:
- Neonatal resuscitation
- Perinatal medicine
- Obstetrics
Background:
- Umbilical cord milking (UCM) is a controversial technique involving cord manipulation before clamping.
- Its non-physiological nature contrasts with standard neonatal care practices.
Purpose of the Study:
- To review the existing literature on umbilical cord milking.
- To evaluate the potential utility of UCM, particularly for depressed newborns.
- To discuss UCM as an alternative to delayed cord clamping (DCC).
Main Methods:
- Literature review of studies on umbilical cord milking and delayed cord clamping.
- Analysis of physiological effects and clinical outcomes associated with UCM.
- Comparison of UCM with DCC in specific neonatal scenarios.
Main Results:
- Umbilical cord milking may offer benefits in specific situations, such as neonatal resuscitation.
- Evidence is still emerging regarding the long-term effects and optimal protocols for UCM.
- UCM is being considered as a potential alternative to delayed cord clamping in certain clinical contexts.
Conclusions:
- Umbilical cord milking warrants further investigation as a potential intervention for depressed newborns.
- The technique's role alongside or as an alternative to delayed cord clamping requires more research.
- Clinical decision-making regarding cord management should consider the latest evidence on UCM.
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