Comparing the safety and effectiveness of various umbilical cord milking techniques and delayed cord clamping in full-term and preterm infants: A systematic review and meta-analysis.

Autor:	Zaman AY; College of medicine, Department of obstetrics and gynecology, Taibah University, Madinah, Saudi Arabia., Fadlalmola HA; Nursing college, Department of community health nursing, Taibah University, Madinah, Saudi Arabia., Mohammed AA; Nursing college, Jazan University, Jazan, Saudi Arabia., Abedelwahed HH; Nursing college, Jazan University, Jazan, Saudi Arabia., Mohammed KE; Nursing college, Department of community health nursing, King Khalid University, Saudi Arabia., Swamy DV; College of applied medical science, nursing department, University of Bisha, Bisha, Saudi Arabia., Gabir MM; College of applied medical science, nursing department, University of Bisha, Bisha, Saudi Arabia., Alshahrani MD; Ministry of Health, psychiatric and Long-Term Care Hospital, Bisha, Saudi Arabia., Assiri MA; Ministry of Health, King Abdullah hospital, Bisha, Saudi Arabia., Al-Harthi SA; Riyadh First Health Cluster, Riyadh, Saudi Arabia., Altufayl AO; Ministry of Health, psychiatric and Long-Term Care Hospital, Bisha, Saudi Arabia., Aljohani MM; Ministry of Health, King Fahad hospital, Madinah, Saudi Arabia., Mohammed FH; Department of Nursing, Collage of Applied Medical Science, Buraydah Private Collages, Qassim, Saudi Arabia., Omer RA; Nursing college, Jazan University, Jazan, Saudi Arabia., Ahmed NM; Nursing college, Jazan University, Jazan, Saudi Arabia., Ahmed ASM; Nursing college, Jazan University, Jazan, Saudi Arabia., Gaafar DA; Nursing college, Jazan University, Jazan, Saudi Arabia., Alnassry SMA; Nursing college, Jazan University, Jazan, Saudi Arabia., Abdeldafi SY; Nursing Department, Hafr Albatin University, Saudi Arabia., Elhussain MY; Nursing Department, Hafr Albatin University, Saudi Arabia., Almkiy EA; Department of Nursing, Collage of Applied Medical Science, Buraydah Private Collages, Qassim, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	African journal of reproductive health [Afr J Reprod Health] 2023 Nov 30; Vol. 27 (11), pp. 99-125.
DOI:	10.29063/ajrh2023/v27i11.11
Abstrakt:	We compare the hematocrit, hemoglobin, need for transfusion, recurrent phototherapy, serum bilirubin level, and serum ferritin at different time frames for the umbilical cord milking (UCM) and delayed cord clamping (DCC) in both full-term and preterm infants. A comprehensive search through various databases aimed to compare UCM and DCC studies until May 2nd, 2023. Cochrane and NIH tools assessed RCTs and cohorts, respectively. Meta-analysis employed Review Manager 5.4 software, calculating MD and RR with 95% CIs for continuous and dichotomous data. We included 20 studies with a total of 5189 infants. Regarding preterm infants, hematocrit level showed no significant difference between intact Umbilical Cord Milking (iUCM) compared to DCC (MD = -0.24, 95% CI [-1.11, 0.64]). Moreover, Neonatal death incidence was significantly higher with the UCM technique in comparison to DCC (RR = 1.28, 95% CI [1.01 to 1.62]). Regarding term and late preterm infants, Hematocrit level showed no significant difference between the iUCM or cUCM techniques compared to DCC (MD = 0.21, 95% CI [-1.28 to 1.69]), (MD = 0.96, 95% CI [-1.02 to 2.95]), respectively. UCM led to a higher risk of neonatal death in preterm infants compared to DCC. However, the incidence of polycythemia was lower in the UCM group. Additionally, UCM was associated with higher rates of severe IVH events. Based on these findings, DCC may be preferred due to its lower incidence of severe IVH and neonatal death. Competing Interests: The Authors declared no conflict of interest (African Journal of Reproductive Health © 2023.)
Databáze:	MEDLINE
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