Evidence map›Paper›PMID 29234144›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2018

Umbilical cord milking at birth for term newborns with acidosis: neonatal outcomes.

Anup Katheria, Judith Mercer, Melissa Brown, Wade Rich, Katie Baker, M J Harbert, Brianna Pierce, Kasim Hassen, Neil Finer

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Response to Dr. Kumar's letter.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Anup KatheriaNeonatal Research Institute at Sharp Mary Birch Hospital for Women and Newborns, San Diego, CA, USA. anup.katheria@sharp.com.
Judith MercerUniversity of Rhode Island, Kingston, RI, USA.
Melissa BrownNeonatal Research Institute at Sharp Mary Birch Hospital for Women and Newborns, San Diego, CA, USA.ORCID 0000-0002-3306-6562
Wade RichNeonatal Research Institute at Sharp Mary Birch Hospital for Women and Newborns, San Diego, CA, USA.
Katie BakerNeonatal Research Institute at Sharp Mary Birch Hospital for Women and Newborns, San Diego, CA, USA.
M J HarbertNeonatal Research Institute at Sharp Mary Birch Hospital for Women and Newborns, San Diego, CA, USA.
Brianna PierceNeonatal Research Institute at Sharp Mary Birch Hospital for Women and Newborns, San Diego, CA, USA.
Kasim HassenNeonatal Research Institute at Sharp Mary Birch Hospital for Women and Newborns, San Diego, CA, USA.
Neil FinerNeonatal Research Institute at Sharp Mary Birch Hospital for Women and Newborns, San Diego, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine if umbilical cord milking is detrimental in compromised term/near-term infants. STUDY

designA retrospective analysis of infants with abnormal cord gases (cord arterial or venous pH of ≤ 7.1 or base deficit > -12). We collected maternal risk factors, cord management, birth, and neonatal outcomes during hospitalization.

resultWe found 157 infants who met the criteria for abnormal cord gases. Thirty-six of those had umbilical cord milking at delivery. There was no significant difference in neonatal outcomes, but fewer infants in the cord milking group needed resuscitation (38 vs. 56%, p = 0.07) and ongoing respiratory support (19 vs. 31%, p = 0.16) compared to the immediate clamping group.

conclusionsWhile not significant, infants who received cord milking at birth needed less resuscitation and ongoing respiratory support. This study suggests that umbilical cord milking appears to be a safe therapy when acidosis is present and when resuscitation is needed.

Indexed as

AcidosisChild DevelopmentConstrictionFemaleHematocritHumansInfant, NewbornMaleRetrospective StudiesTerm BirthUmbilical Cord

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.