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dc.contributor.authorOrtiz Esquinas, Inmaculada
dc.contributor.authorGómez Salgado, Juan 
dc.contributor.authorRodríguez Almagro, Julián Javier
dc.contributor.authorArias Arias, Ángel
dc.contributor.authorBallesta Castillejos, Ana
dc.contributor.authorHernández Martínez, Antonio
dc.date.accessioned2020-06-16T11:47:40Z
dc.date.available2020-06-16T11:47:40Z
dc.date.issued2020-04
dc.identifier.citationOrtiz Esquinas, I., Gómez Salgado, J., Rodríguez Almagro, J., Arias Arias, Á., Ballesta Castillejos, A., & Hernández Martínez, A. (2020). Umbilical Cord Milking in Infants Born at <37 Weeks of Gestation: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 9(4), 1071. DOI: https://doi.org/10.3390/jcm9041071es_ES
dc.identifier.issn2077-0383
dc.identifier.urihttp://hdl.handle.net/10272/18314
dc.description.abstractUmbilical cord milking (UCM) could be an alternative in cases where delayed umbilical cord clamping cannot be performed, therefore our objective was to evaluate the effects ofUCMin newborns <37 weeks’ gestation. In this systematic review and meta-analysis, we searched MEDLINE, EMBASE, CINAHL, the Cochrane Database of Clinical Trials, the clinicaltrails.gov database for randomizedUCM clinical trials with no language restrictions, which we then compared with other strategies. The sample included 2083 preterm infants. The results of our meta-analysis suggest thatUCMin premature infants can reduce the risk of transfusion (relative risk (RR)= 0.78 [95% confidence interval (CI),0.67–0.90]) and increase hemoglobin(pooled weighted mean difference (PWMD)= 0.89 g/L[95%CI 0.55–1.22]) and mean blood pressure (PWMD=1.92 mmHg [95% CI 0.55–3.25]). Conversely, UCM seems to increase the risk of respiratory distress syndrome (RR = 1.54 [95% CI 1.03–2.29]), compared to the control groups. In infants born at <33 weeks,UCMwas associated with a reduced risk of transfusion (RR= 0.81 [95%CI 0.66–0.99]), as well as higher quantities of hemoglobin (PWMD= 0.91 g/L[95%CI 0.50–1.32]). UCM reduces the risk of transfusion in preterm infants, and increases initial hemoglobin, hematocrit, and mean blood pressure levels with respect to controls.es_ES
dc.language.isoenges_ES
dc.publisherMDPIes_ES
dc.relation.isversionofPublisher’s versión
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/*
dc.subject.otherUmbilical cord milkinges_ES
dc.subject.otherDelayed umbilical cord clampinges_ES
dc.subject.otherPreterm infantses_ES
dc.subject.otherSystematic review and meta-analysises_ES
dc.titleUmbilical Cord Milking in Infants Born at <37Weeks of Gestation: A Systematic Review and Meta-Analysises_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.identifier.doi10.3390/jcm9041071
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses_ES


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