{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T14:33:04Z","timestamp":1743085984167},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Amer J Perinatol"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>\n            Objective\u2003Our aim was to evaluate the effect of umbilical cord milking on outcomes for preterm multiples.<\/jats:p><jats:p>\n            Study Design\u2003We implemented a policy of cord milking in neonates born at less than 30 weeks' gestation in September 2011. We compared cord milking in multiples with a historical cohort. Multivariable logistic regression models estimated the effect of cord milking on a composite neonatal adverse outcome. Secondary outcomes were hematocrit at birth, need for blood transfusion, and inotrope use.<\/jats:p><jats:p>\n            Results\u2003We identified 149 neonates (120 twins, 29 triplets), 51 historical controls, and 98 neonates with cord milking. Cord milking was associated with a lower rate of adverse composite neonatal outcome in univariable analysis (odds ratio [OR]: 0.36; 95% confidence interval [CI]: 0.15\u20130.84). However, in multivariable modeling, the effect was not significant (adjusted OR [aOR]: 0.54, 95% CI: 0.23\u20131.28). Hematocrit was 4.6 unit % (95% CI: 2\u20137.3) higher in the cord milking group, and cord milking was associated with a lower rate of blood transfusion (aOR: 0.28; 95% CI: 0.1\u20130.74; p\u2009=\u20090.01). There was no difference in inotrope administration.<\/jats:p><jats:p>\n            Conclusion\u2003Umbilical cord milking was not associated with a decrease in composite neonatal adverse outcome. However, we observed an increase in hematocrit and decreased need for blood transfusion in neonates with cord milking.<\/jats:p>","DOI":"10.1055\/s-0039-1679915","type":"journal-article","created":{"date-parts":[[2019,3,2]],"date-time":"2019-03-02T00:25:01Z","timestamp":1551486301000},"page":"990-996","source":"Crossref","is-referenced-by-count":4,"title":["Neonatal Outcomes Associated with Umbilical Cord Milking in Preterm Multiple Gestations"],"prefix":"10.1055","volume":"36","author":[{"given":"Christina E.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah"},{"name":"Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Torri D.","family":"Metz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, Colorado"},{"name":"Department of Obstetrics and Gynecology, Denver Health and Hospital Authority, Denver, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shrena","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minda","family":"Abbaszadeh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley A.","family":"Yoder","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyler","family":"Bardsley","sequence":"additional","affiliation":[{"name":"Study Design and Biostatistics Center, University of Utah, Salt Lake City, Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin A. S.","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,3,1]]},"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1679915.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T22:48:30Z","timestamp":1565736510000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1679915"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,1]]},"references-count":0,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2019,8,13]]},"published-print":{"date-parts":[[2019,8]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1679915","relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,1]]}}}