Effect of Umbilical Cord Milking on Maternal and Neonatal Ou
Umbilical cord milking (UCM) has been theorized to increase placental blood transfusion. The study shows that umbilical cord milking raises the hemoglobin and hematocrit levels up to 6 weeks.

Researchers aimed to analyze the effects of UCM on the neonatal hematological parameters at 72 h and 6 weeks of age and its association with any adverse effects.

In this randomized control trial, mothers ≥34 weeks were randomized into two arms. Under the intervention group, the cord was milked three times before clamping and cutting whereas the controls had the cord clamped and cut without milking. Hemoglobin and hematocrit levels were measured at 72 h. and at 6 weeks. A total of 170 mothers were enrolled with 85 subjects in each arm.

- In the intervention arm, the mean hemoglobin and hematocrit were significantly higher as compared to the control arm, at 72 h of age.

- There was also a significant increase in the mean hemoglobin and hematocrit, at 6 weeks.

- No statistical difference was found in the incidence of PPH and duration of the third stage.

- There was no significant rise in hyperbilirubinemia, phototherapy requirement, and polycythemia among neonates in the intervention group.

In particular, umbilical cord milking is a sound practical approach to raise the hemoglobin and hematocrit levels up to 6 weeks thereby decreasing the proportion of anemic infants.

The Journal of Obstetrics and Gynecology of India
Source: https://doi.org/10.1007/s13224-021-01515-9