Milking the cord, an alternative way of achieving
placento-fetal transfusion at the time of delivery, has
been recently evaluated.7,8 Forty preterm neonates
younger than 29 weeks of gestation were randomized
to either immediate clamping of the cord or two to
three times of milking the cord after delivery. The
authors found higher hemoglobin values after birth
(mean hemoglobin 141 g/L [range 122–169] compared
with mean Hemoglobin 165 g/L [range 137–
196]; P.01), higher blood pressure (mean blood
pressure 288 mm Hg compared with 349 mm Hg;
P.03), and less need for blood transfusions (mean
number 4.04.2 compared with 1.73; P.02) in the
group allocated to milking.
Jo