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. 2019 Sep 17;2019(9):CD003248. doi: 10.1002/14651858.CD003248.pub4

Isac 2017.

Trial name or title Effect of umbilical cord milking of late preterm and term infants on maternal and neonatal outcomes in a tertiary care hospital in South India: a randomised control trial.
Methods Randomised, parallel group, placebo‐controlled trial. Permuted block randomisation, fixed.
Sequentially‐numbered, sealed, opaque envelopes. Participant and Investigator blinded.
Participants Inclusion criteria
  • Term and preterm infants > 35 weeks.


Exclusion criteria
Interventions Intervention: umbilical cord milking (UCM)
  • Neonates born under the milking group will be positioned at the level of the uterus (approximately 20 cm away), in vaginal delivery and on the thighs of mother in caesarean section. An assistant will milk the cord while holding it at the introitus or caesarean delivery wound with 1 hand and milking the umbilical cord for its remaining accessible whole length toward the neonate at a speed of 10 cm/s 3 times. The cord would be clamped after the third time.


Comparator: ECC
  • The neonates born under this group will undergo early cord clamping without milking.

Outcomes Primary
  • Infant Hb andHct measured using a portable haemoglobinometer at 3 days and 6 weeks.


Secondary
  • Postpartum complications at birth; Infant bilirubin (trans cutaneous bilirubin) at 3 days; Need for photo therapy a 3 days of age till discharge.

Starting date 3 November 2017. Estimated duration 1 year.
Contact information Scientific enquiry: Dr Mini Isac, Professor, Dept. of Obstetrics and Gynecology MOSC Medical College Hospital, Kolenchery, Ernakulam, KERALA 682311, India. Email: drminiisac@gmail.com
Public enquiry: Anu Anna George, Post Graduate, Dept. of Obstetrics and Gynecology MOSC MMH Kolenchery, Ernakulam, KERALA 682311, India. Email: annamed013@gmail.com
Notes Sample size: 142.