EFFICACY OF MILKING OF THE CORD ON THE NEURODEVELOPMENTAL OUTCOME OF PRETERM BABIES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 10
Abstract
BACKGROUND Although milking of cord has been shown to improve outcome of preterm babies in studies done in the west, very few Indian studies have been done so far. This is why this study was undertaken. Objective- To assess immediate neurological outcome in preterms who received milking of the cord by neurological examination at discharge. To assess neurodevelopmental outcome at six months (corrected gestation) in surviving preterms who received milking of the cord by evaluating for developmental delay. MATERIALS AND METHODS This was a descriptive comparative study. All infants born in Jubilee Mission Medical College, Thrissur, during a 6-month period at less than 34 weeks of gestation who met the inclusion criteria were selected for this study, observed up to the age of 6 months and the effect of this intervention on the neurodevelopmental outcome was studied. Immediate neurological outcome was assessed by the number of neonatal deaths and neurological examination at discharge (Amiel-Tison Angles). They were followed up at 6 months by assessing neurodevelopmental outcome (Trivandrum Development Screening chart). RESULTS There was reduction in Amiel-Tison angle abnormalities and neurodevelopmental outcome at 6 months in the children whose mothers received milking of the cord, but the results were not statistically significant. CONCLUSION There is need for future randomised controlled trials at a multicentric level to provide further evidence in favour of administration of milking of cord for foetal neuroprotection in India.
Authors and Affiliations
Lakshmi M. S, Aparna Namboodiripad, Manoj V. C
Keywords
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- EP ID EP411295
- DOI 10.14260/jemds/2018/271
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