Placental Transfusion for Nonvigorous Newborns: Umbilical Cord Milking or Delayed Clamping?
BACKGROUND AND PURPOSE:
Katheria et al. (AJOG, 2022) assessed whether umbilical cord milking reduced admission to the NICU vs early cord clamping in nonvigorous newborns born between 35 and 42 weeks
Pragmatic cluster-randomized crossover trial
Milking In Nonvigorous Infants (MINVI) trial
Nonvigorous infants born at 35 to 42 weeks’ gestation
Umbilical cord milking
Early cord clamping
Participating medical centers were each randomized to one of the interventions for approximately 1 year, and then crossed over for an additional year or until the required number of consented subjects was reached
Nonvigorous infants were identified by
Poor tone | Pale color | Lack of breathing in the first 15 seconds after birth
Baseline characteristics and outcomes were collected following deferred informed consent
OBG Project CME requires a modern web browser (Internet Explorer 10+, Mozilla Firefox, Apple Safari, Google Chrome, Microsoft Edge). Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, or Real Networks Real One Player.
Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information
presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
Jointly provided by
NOT ENOUGH CME HOURS
It appears you don't have enough CME Hours to take this Post-Test. Feel free to buy additional CME hours or upgrade your current CME subscription plan