Randomized Controlled Trial (RCT): Effects on blood pressure of 4 times milking of the cord versus slight delay of cord clamping in very low birth weight infants (VLBW)

Aims: RCTs have shown that a slight delay of 30 seconds in clamping the cord enables placento-fetal transfusion, which benefits VLBW greatly by reducing intraventricular hemorrhages and the need for blood transfusion. Often birth attendees hesitate to wait for 30 seconds, therefore milking of the cord towards the VLBW has been discussed and reported in one trial. Objective: To evaluate the circulatory effects of four times milking the cord (Milk G) versus a slight delay in clamping the cord of 30 seconds (Clamp G) in VLBW