Evidence map›Paper›PMID 30886867›Full record

ReviewBioMed research international2019

Milking of the Umbilical Cord in Term and Late Preterm Infants.

Stefano Basile, Sara Pinelli, Elisabetta Micelli, Marta Caretto, Pierluigi Benedetti Panici

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BioMed research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Umbilical cord milking-benefits and risks.Frontiers in pediatrics · 2023
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  8. Article
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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

5 authors.

Stefano BasileMaternal and Child Health Department, Division of Obstetrics and Gynecology 2, Pisa University Hospital, Pisa, Italy.ORCID 0000-0002-7040-2991
Sara PinelliMaternal and Child Health Department, Division of Obstetrics and Gynecology 2, Pisa University Hospital, Pisa, Italy.ORCID 0000-0003-3070-7165
Elisabetta MicelliMaternal and Child Health Department, Division of Obstetrics and Gynecology 2, Pisa University Hospital, Pisa, Italy.
Marta CarettoMaternal and Child Health Department, Division of Obstetrics and Gynecology 2, Pisa University Hospital, Pisa, Italy.ORCID 0000-0002-1157-9930
Pierluigi Benedetti PaniciDepartment of Gynecologic-Obstetrical and Urologic Sciences, Sapienza University Hospital, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUmbilical cord milking is a procedure in which clamped or unclamped umbilical cord is grasped, and blood is pushed ("stripped") two to four times towards the newborn, in a rapid time frame, usually within 20 seconds. The target of umbilical cord milking is to provide infants with their whole potential blood volume-of which they are deprived when early cord clamping is carried out-completing placental transfusion in a shorter time than delayed cord clamping. The aim of this narrative review is to analyse the literature regarding umbilical cord milking in term and late-preterm infants and to assess all possible benefits and limits of this procedure in clinical practice, especially in comparison to immediate and delayed cord clamping.

methodsWe analysed literature data concerning maternal, as well as neonatal, outcomes for term and late-preterm (gestational age ≥ 34 weeks) newborns who received umbilical cord milking.

resultsMost studies show comparable benefits for both umbilical cord milking and delayed cord clamping, especially in terms of haematological parameters when compared to immediate cord clamping. Umbilical cord milking may be a feasible procedure also for newborns requiring resuscitation.

conclusionsLiterature data concerning positive effects of umbilical cord milking are encouraging and suggest that umbilical cord milking may be a quick and effective method to provide placental transfusions to depressed infants. However, the lack of standardised procedures and the variation in evaluated outcomes as well as the limited number of patients enrolled in trials, along with the retrospective nature of some of them, prevent recommending umbilical cord milking as a routine procedure.

Indexed as

Blood TransfusionFemaleGestational AgeHumansInfantInfant, NewbornInfant, PrematurePregnancyPremature BirthTerm BirthUmbilical Cord

Identifiers

PMID30886867
PMCPMC6388319

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.