{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T07:31:53Z","timestamp":1780731113883,"version":"3.54.1"},"reference-count":36,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003Umbilical cord milking (UCM) is an efficient way to achieve optimal placental transfusion in term infants born by cesarean section (CS). However, it is not frequently performed due to concern for short-term adverse effects of increased blood volume, such as polycythemia and hyperbilirubinemia. The aim of this study is to evaluate the short-term effects of UCM on term infants delivered by CS.<\/jats:p><jats:p>\n          Study Design\u2003We conducted a pre- and postimplementation cohort study comparing term infants delivered by CS who received UCM five times (141 infants, UCM group) during a 6-month period (August 1, 2017 to January 31, 2018) to those who received immediate cord clamping (ICC) during the same time period (105 infants, postimplementation ICC) and during a 3-month period (October1, 2016 to December 31, 2016) prior to the implementation of UCM (141 infants, preimplementation ICC).<\/jats:p><jats:p>\n          Results\u2003Mothers were older in UCM group compared with both ICC groups. There were no significant differences in other maternal or neonatal characteristics. Although this study was not powered to detect differences in outcomes, the occurrence of hyperbilirubinemia needing phototherapy, symptomatic polycythemia, NICU admissions, or readmissions for phototherapy was similar between the groups.<\/jats:p><jats:p>\n          Conclusion\u2003UCM intervention was not associated with increased incidence of phototherapy or symptomatic polycythemia in term infants delivered by CS.<\/jats:p>","DOI":"10.1055\/s-0040-1701617","type":"journal-article","created":{"date-parts":[[2020,2,18]],"date-time":"2020-02-18T23:56:31Z","timestamp":1582070191000},"page":"1042-1047","source":"Crossref","is-referenced-by-count":5,"title":["Effects of Umbilical Cord Milking on Term Infants Delivered by Cesarean Section"],"prefix":"10.1055","volume":"38","author":[{"given":"Arpitha","family":"Chiruvolu","sequence":"additional","affiliation":[{"name":"Department of Women and Infants, Baylor Scott and White Medical Center McKinney, Pediatrix Medical Group of Dallas, Dallas, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Medders","sequence":"additional","affiliation":[{"name":"Department of Medical Education, College of Medicine, Texas A&M University, Bryan, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yahya","family":"Daoud","sequence":"additional","affiliation":[{"name":"Department of Quantitative Sciences, Center for Clinical Effectiveness, Baylor Scott & White Health Care System, Dallas, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,2,18]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"e5","DOI":"10.1097\/AOG.0000000000001860","article-title":"Committee opinion no. 684: delayed umbilical cord clamping after birth","volume":"129","year":"2017","journal-title":"Obstet Gynecol"},{"issue":"07","key":"ref2","first-page":"CD004074","article-title":"Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes","author":"S J McDonald","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"d7157","DOI":"10.1136\/bmj.d7157","article-title":"Effect of delayed versus early umbilical cord clamping on neonatal outcomes and iron status at 4 months: a randomised controlled trial","volume":"343","author":"O Andersson","year":"2011","journal-title":"BMJ"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1001\/jamapediatrics.2013.4639","article-title":"Effect of delayed vs early umbilical cord clamping on iron status and neurodevelopment at age 12 months: a randomized clinical trial","volume":"168","author":"O Andersson","year":"2014","journal-title":"JAMA Pediatr"},{"issue":"07","key":"ref5","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1001\/jamapediatrics.2015.0358","article-title":"Effect of delayed cord clamping on neurodevelopment at 4 years of age: a randomized clinical trial","volume":"169","author":"O Andersson","year":"2015","journal-title":"JAMA Pediatr"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1016\/S0140-6736(69)92328-9","article-title":"Distribution of blood between infant and placenta after birth","volume":"2","author":"A C Yao","year":"1969","journal-title":"Lancet"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1097\/JPN.0b013e31825d2d9a","article-title":"Rethinking placental transfusion and cord clamping issues","volume":"26","author":"J S Mercer","year":"2012","journal-title":"J Perinat Neonatal Nurs"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1016\/0002-9378(52)90546-2","article-title":"Effect on cesarean section babies of stripping or milking of the umbilical cords","volume":"63","author":"R S Siddall","year":"1952","journal-title":"Am J Obstet Gynecol"},{"issue":"15","key":"ref9","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1056\/NEJM195404152501502","article-title":"Clamping of the umbilical cord; 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