To Study the Effect of Timing of Umbilical Cord Clamping on Neonatal Outcomes with Special Emphasis on Neonatal Hyperbilirubinemia and Hematocrit Levels in the Early Neonatal Period
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Date
2020-01
Journal Title
Journal ISSN
Volume Title
Publisher
International Society for Contemporary Medical Research
Abstract
Introduction: The umbilical cord of every newborn is clampedand cut at birth, yet the optimal timing for this interventionremains controversial. For at least over 200yrs, multiplecontroversies have arisen around the timing of umbilical cordclamping. Delayed cord clamping or placental transfusioncould be a cost effective intervention to improve the ironstatus of infants by enhancing their red cell mass. Search inliterature reveals that several controlled trials evaluating theshort term and long term hematological outcomes of delayedcord clamping have been performed in the past but veryfew studies have investigated the risk of hyperbilirubinemiaespecially from this part of the world. Hence this crosssectional study was conceptualized.Material and Methods: It was a cross-sectional studyconducted among 212 term infants born at RohilkhandMedical College and Hospital, Bareilly, over a period of 1year, who fulfilled the inclusion criteria were included in ourstudy.Results: In the present study, hemoglobin, bilirubin, andhematocrit levels at birth and at 24 hours of birth in Immediatecord clamping and Delayed cord clamping was taken. Meanlevels of hemoglobin, bilirubin and hematocrit was foundhigher in Delayed Cord Clamping group as compared toImmediate Cord Clamping group.Conclusion: The study was conclusive of the fact that interm infants delayed cord clamping increases hemoglobin,hematocrit and bilirubin levels at birth and at 24 hrs of birth ascompared to immediate cord clamping. Moreover, there wasno significant associated adverse effects.
Description
Keywords
Immediate Cord Clamping, Delayed Cord Clamping.
Citation
Sharma Ankit, Agarwal Ashok, Bhambri Alka, Ahmed Syed Moiz. To Study the Effect of Timing of Umbilical Cord Clamping on Neonatal Outcomes with Special Emphasis on Neonatal Hyperbilirubinemia and Hematocrit Levels in the Early Neonatal Period. International Journal of Contemporary Medical Research . 2020 Jan; 7(1): a6-a11