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Active management included weekly fetal heart rate monitoring(FHRM)\u2009\u2265\u200930\u00a0weeks and labor induction at 36\u201337\u00a0weeks. Outcomes in active and routine management were compared, including composite asphyxia-related adverse outcome, fetal death, labor induction, Cesarean section (CS) or Instrumental delivery due to non-reassuring fetal heart rate (NRFHR), Apgar\n                      <jats:sub>5<\/jats:sub>\n                      score\u2009&lt;\u20097, cord Ph\u2009&lt;\u20097, neonatal intensive care unit (NICU) admission and more.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The Active (n\u2009=\u200959) and Routine (n\u2009=\u20091091) Management groups demonstrated similar rates of composite asphyxia-related adverse outcome (16.9% vs 16.8%, p\u2009=\u20090.97). Active Management resulted in higher rates of labor induction\u2009&lt;\u200937\u00a0weeks (22% vs 1.7%, p\u2009&lt;\u20090.001), CS (37.3% vs 19.2%, p\u2009=\u20090.003) and NICU admissions (13.6% vs 3%, p\u2009&lt;\u20090.001). Fetal death occurred exclusively in the Routine Management group (1.8% vs 0%, p\u2009=\u20090.6).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Compared with routine management, weekly FHRM and labor induction between 36 and 37\u00a0weeks in TKUC do not appear to reduce neonatal asphyxia. In its current form, active management is associated with higher rates of CS, induced prematurity and NICU admissions. Labor induction before 37\u00a0weeks should be avoided.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00404-024-07568-1","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T11:02:41Z","timestamp":1717412561000},"page":"337-344","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The benefit of active management in true knot of the umbilical cord: a retrospective study"],"prefix":"10.1007","volume":"310","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5558-7871","authenticated-orcid":false,"given":"Tal","family":"Weissbach","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shir","family":"Lev","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yonatan","family":"Back","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abeer","family":"Massarwa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raanan","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tal","family":"Elkan Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alina","family":"Weissmann-Brenner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boaz","family":"Weisz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shali","family":"Mazaki-Tovi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eran","family":"Kassif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,3]]},"reference":[{"key":"7568_CR1","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1007\/s00404-021-06168-7","volume":"305","author":"A Weissmann-Brenner","year":"2022","unstructured":"Weissmann-Brenner A, Meyer R, Domniz N, Levin G, Hendin N, Yoeli-Ullman R, Mazaki-Tovi S, Weissbach T, Kassif E (2022) The perils of true knot of the umbilical cord: antepartum, intrapartum and postpartum complications and clinical implications. 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Tal Weissbach: Protocol\/project development, Writing\u2014Original Draft, Data collection or management, Data analysis. Yonatan Back: Writing\u2014Review & Editing, Data collection or management. Shir Lev: Writing\u2014Review & Editing, Data collection or management. Abeer Massarwa: Writing\u2014Review & Editing, Data collection or management. Raanan Meyer: Writing\u2014Review & Editing, Resources, Data analysis. Tal Elkan Miller: Writing\u2014Review & Editing, Data collection or management. Boaz Weisz: Writing\u2014Review & Editing, Protocol development. Alina Weissmann-Brenner: Protocol development, Supervision, Writing\u2014Review & Editing. Shali Mazaki-Tovi: Protocol development, Supervision, Writing\u2014Review & Editing. Eran Kassif: Protocol\/project development, Writing\u2014Original Draft, Data analysis.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}