Benefits of umbilical cord milking

A systematic review and meta-analysis of seven randomized trials of umbilical cord milking compared to control conditions found the following benefits in preterm infants less than 33 weeks gestation – a higher hemoglobin and hematocrit, reduction in oxygen requirement at 36 weeks post-menstrual age, and reduction in intraventricular hemorrhage. There was no difference in the frequency of hypotension, use of inotropes or volume expansion. Long-term outcomes were not studied in these trials.

(An accompanying editorial discusses these findings and the implications for practice).

Efficacy and safety of umbilical cord milking at birth. Al-Wassia and Shah 2014.