Department of Neonatology, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India
Research Article
Effect of Umbilical Cord Milking on Severity of Hypoxic Ischemic Encephalopathy in Asphyxiated Neonates: A Pilot study
Author(s): VC Manoj*
Background: The present study was aimed to evaluate the effect of umbilical cord milking technique on
severity of Hypoxic Ischemic Encephalopathy (HIE) in asphyxiated neonates and assessed by Modified
Sarnat’s staging as primary outcome, APGAR score at 5 minutes and respiratory support requirement
as secondary outcome.
Methods: This was a randomized, controlled pilot study conducted in neonatology department at a
tertiary care center, Thrissur, Kerala for one year starting from March 2020. The neonates were divided
into two groups non milking group, control (n=38) and umbilical Cord Milking, case [UCM] (n=32)
and their outcomes were compared. In the intervention group, the cord was cut at 30 cm from umbilical
stump within 30 seconds of birth and euthermia was maintained. The umbilical cord was raised and
milked fr.. View more»