title: Comparison of three types of intervention to enhance placental redistribution in term newborns: randomized control trial.
abstract: OBJECTIVE
  To compare the effect of combined delayed cord clamping and umbilical cord milking to either of them had done alone, on hematological parameters at 6 weeks of age in term neonates.
  
  
  METHODS
  It was a randomized controlled trial, conducted during January to December 2014. Three hundred eligible neonates were randomly allocated to three parallel groups. Primary outcome was hemoglobin and serum ferritin at 6 weeks of age. Data were analyzed using analysis of variance and Kruskal-Wallis test.
  
  
  RESULTS
  Baseline characteristics and hemodynamic parameters were comparable in all the three groups. The median serum ferritin level at 6 weeks was significantly higher in the group receiving both delayed cord clamping and milking the cut cord group (295.49 (233.5 to 346.54) ng ml(-1)) as compared with the group that received only milking of the cut cord (184.55 (131.22 to 256.5) ng ml(-1)) or only delayed cord clamping (268.8 (189.4 to 315.44) ng ml(-1)).
  
  
  CONCLUSIONS
  Delayed cord clamping with milking the cut cord improved iron stores at 6 weeks of age in term infants, then either of the two interventions alone.
authors.affiliation: Department of Pediatrics, LLRM Medical College, Meerut, Uttar Pradesh, India.
authors.forename: A K
authors.initials: AK
authors.lastname: Yadav
authors.affiliation: Department of Pediatrics, LLRM Medical College, Meerut, Uttar Pradesh, India.
authors.forename: A
authors.initials: A
authors.lastname: Upadhyay
authors.affiliation: Department of Pediatrics, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: S
authors.initials: S
authors.lastname: Gothwal
authors.affiliation: Department of Obstetrics and Gynaecology, LLRM Medical College, Meerut, Uttar Pradesh, India.
authors.forename: K
authors.initials: K
authors.lastname: Dubey
authors.affiliation: Department of Pediatrics, LLRM Medical College, Meerut, Uttar Pradesh, India.
authors.forename: U
authors.initials: U
authors.lastname: Mandal
authors.affiliation: Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: C P
authors.initials: CP
authors.lastname: Yadav
mesh_terms: D018798:Anemia, Iron-Deficiency / Q000097:blood / Q000517:prevention & control*; D001803:Blood Transfusion / Q000379:methods*; D003250:Constriction; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D005293:Ferritins / Q000097:blood*; D006454:Hemoglobins / Q000032:analysis*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000097:blood / Q000517:prevention & control*; D008297:Male; D010920:Placenta / Q000098:blood supply / Q000502:physiology; D011247:Pregnancy; D013997:Time Factors; D016896:Treatment Outcome; D014470:Umbilical Cord / Q000601:surgery
chemical_list: D006454:Hemoglobins; D005293:Ferritins