Neonatal Outcomes of Umbilical Cord Milking, Early Cord Clamping and Delayed Cord Clamping in Term Infants: A Randomised Controlled Trial

Saifon Chawanpaiboon; Sunisa  Nuanjeen; Thitiya  Wayuphak; Geeranda  Oncharoen; Arunee Phuengphaeng; Julaporn Pooliam

doi:10.7759/cureus.78922

Neonatal Outcomes of Umbilical Cord Milking, Early Cord Clamping and Delayed Cord Clamping in Term Infants: A Randomised Controlled Trial

Saifon Chawanpaiboon
, Sunisa Nuanjeen
, Thitiya Wayuphak
, Geeranda Oncharoen
, Arunee Phuengphaeng
, Julaporn Pooliam

Department of Obstetrics & Gynecology

Department of Obstetrics and Gynecology, Faculty of Medicine, Siriraj Hospital
Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital
Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University
Research Division, Faculty of Medicine Siriraj Hospital

Research output: Contribution to specialist publication › Article

Abstract

Optimal umbilical cord management at birth plays a crucial role in neonatal outcomes. While delayed cord clamping (DCC) has been associated with improved neonatal haematologic and hemodynamic status, early cord clamping (ECC) remains widely practised. Umbilical cord milking (UCM) has emerged as an alternative to DCC, potentially offering similar benefits while reducing the delay in neonatal resuscitation. This study aims to compare the effects of UCM, ECC, and DCC on neonatal outcomes in term infants born between 37 and 42 weeks of gestation.

Original language	English
Specialist publication	Cureus
DOIs	https://doi.org/10.7759/cureus.78922
Publication status	Published - 2025

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being
SDG 4 Quality Education

Keywords

umbilical cord milking
Delayed cord clamping
Early cord clamping
haematocrit
haemoglobin
micro-bilirubin
neonatal anaemia

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10.7759/cureus.78922Licence: CC BY

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title = "Neonatal Outcomes of Umbilical Cord Milking, Early Cord Clamping and Delayed Cord Clamping in Term Infants: A Randomised Controlled Trial",

abstract = "Optimal umbilical cord management at birth plays a crucial role in neonatal outcomes. While delayed cord clamping (DCC) has been associated with improved neonatal haematologic and hemodynamic status, early cord clamping (ECC) remains widely practised. Umbilical cord milking (UCM) has emerged as an alternative to DCC, potentially offering similar benefits while reducing the delay in neonatal resuscitation. This study aims to compare the effects of UCM, ECC, and DCC on neonatal outcomes in term infants born between 37 and 42 weeks of gestation.",

keywords = "umbilical cord milking, Delayed cord clamping, Early cord clamping, haematocrit, haemoglobin, micro-bilirubin, neonatal anaemia",

author = "Saifon Chawanpaiboon and Sunisa Nuanjeen and Thitiya Wayuphak and Geeranda Oncharoen and Arunee Phuengphaeng and Julaporn Pooliam",

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AU - Chawanpaiboon, Saifon

AU - Nuanjeen, Sunisa

AU - Wayuphak, Thitiya

AU - Oncharoen, Geeranda

AU - Phuengphaeng, Arunee

AU - Pooliam, Julaporn

PY - 2025

Y1 - 2025

N2 - Optimal umbilical cord management at birth plays a crucial role in neonatal outcomes. While delayed cord clamping (DCC) has been associated with improved neonatal haematologic and hemodynamic status, early cord clamping (ECC) remains widely practised. Umbilical cord milking (UCM) has emerged as an alternative to DCC, potentially offering similar benefits while reducing the delay in neonatal resuscitation. This study aims to compare the effects of UCM, ECC, and DCC on neonatal outcomes in term infants born between 37 and 42 weeks of gestation.

AB - Optimal umbilical cord management at birth plays a crucial role in neonatal outcomes. While delayed cord clamping (DCC) has been associated with improved neonatal haematologic and hemodynamic status, early cord clamping (ECC) remains widely practised. Umbilical cord milking (UCM) has emerged as an alternative to DCC, potentially offering similar benefits while reducing the delay in neonatal resuscitation. This study aims to compare the effects of UCM, ECC, and DCC on neonatal outcomes in term infants born between 37 and 42 weeks of gestation.

KW - umbilical cord milking

KW - Delayed cord clamping

KW - Early cord clamping

KW - haematocrit

KW - haemoglobin

KW - micro-bilirubin

KW - neonatal anaemia

U2 - 10.7759/cureus.78922

DO - 10.7759/cureus.78922

M3 - Article

SN - 2168-8184

JO - Cureus

JF - Cureus

ER -

Neonatal Outcomes of Umbilical Cord Milking, Early Cord Clamping and Delayed Cord Clamping in Term Infants: A Randomised Controlled Trial

Abstract

UN SDGs

Keywords

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