A newborn's "life line" - A review of umbilical cord management strategies

Jenny Koo; Anup C Katheria; Graeme Polglase

doi:10.1016/j.semperi.2022.151621

A newborn's "life line" - A review of umbilical cord management strategies

Semin Perinatol. 2022 Oct;46(6):151621. doi: 10.1016/j.semperi.2022.151621. Epub 2022 May 21.

Authors

Jenny Koo¹, Anup C Katheria², Graeme Polglase³

Affiliations

¹ Sharp Mary Birch, Hospital for Women and Newborn, San Diego, California, U.S.A; Sharp Neonatal Research Institute, San Diego, California, U.S.A.
² Sharp Mary Birch, Hospital for Women and Newborn, San Diego, California, U.S.A; Sharp Neonatal Research Institute, San Diego, California, U.S.A. Electronic address: anup.katheria@sharp.com.
³ Monash University, Department of Obstetrics, & Gynecology, Melbourne, Victoria, Australia.

PMID: 35697528
DOI: 10.1016/j.semperi.2022.151621

Abstract

Literature supporting various umbilical management strategies have increased substantially over the past decade. Delayed cord clamping and umbilical cord milking are increasing embraced by obstetricians and neonatologists, and multiple international governing bodies now endorse these practices. This review summarizes the benefits and limitations of the different umbilical cord management strategies for term, near-term, and preterm neonates. Additional studies are underway to elucidate the safety profile of these practices, long term outcomes, and variations within these strategies that could potentially augment the benefits.

Publication types

Review

MeSH terms

Constriction
Humans
Infant, Newborn
Infant, Premature*
Neonatologists
Physicians*
Umbilical Cord