Umbilical Cord Management at Term and Late Preterm Birth: A Meta-analysis
| Autor: | Colleen Ovelman, Philippa Middleton, Judith Streak Gomersall, Slavica Berber, Susan McDonald, Georg M. Schmölzer, Susan Niermeyer, Peter G Davis, Walid El-Naggar, Roger F. Soll |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Time Factors Cord Term Birth Gestational Age Context (language use) Umbilical cord Umbilical Cord law.invention 03 medical and health sciences 0302 clinical medicine Bias Randomized controlled trial Pregnancy law 030225 pediatrics medicine Humans Randomized Controlled Trials as Topic Obstetrics business.industry Infant Newborn Pregnancy Outcome Gestational age Hemoglobin A Fetal Blood medicine.disease Constriction medicine.anatomical_structure Hematocrit Premature birth Pediatrics Perinatology and Child Health Premature Birth Female business |
| Zdroj: | Pediatrics. 147 |
| ISSN: | 1098-4275 0031-4005 |
| Popis: | CONTEXT:The International Liaison Committee on Resuscitation prioritized scientific review of umbilical cord management at term and late preterm birth.OBJECTIVE:To assess effects of umbilical cord management strategies (clamping timing and cord milking) in infants ≥34 weeks’ gestational age.DATA SOURCES:Cochrane Central Register of Controlled Trials, Medline, PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, and trial registries searched July 2019.STUDY SELECTION:Two authors independently assessed eligibility of randomized controlled trials.DATA EXTRACTION:Two authors independently extracted data and assessed evidence certainty (Grading of Recommendations Assessment, Development and Evaluations).RESULTS:We identified 46 studies (9159 women and their infants) investigating 7 comparisons. Compared with early cord clamping (ECC) LIMITATIONS:Incompleteness and low certainty of findings limit applicability.CONCLUSIONS:Compared with ECC, DCC or cord milking increases hemoglobin and hematocrit immediately after birth in infants ≥34 weeks’ gestational age. The uncertain effects of DCC and cord milking compared with ECC on major morbidities limit usefulness of available evidence for policy and practice. |
| Databáze: | OpenAIRE |
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