Comparison Of Umbilical Cord Milking And Delayed Cord Clamping On Haemoglobin And Haematocrit Levels In Term Neonates. A Randomized Controlled Trial.

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dc.contributor.authorSingh, Virenderen_US
dc.contributor.authorDewan, Deepikaen_US
dc.contributor.authorGupta, Amitaen_US
dc.contributor.authorGupta, Yudhisterviren_US
dc.contributor.authorKakkar, Taniaen_US
dc.contributor.authorGupta, Rajaten_US
dc.date.accessioned2019-11-25T05:30:27Z
dc.date.available2019-11-25T05:30:27Z
dc.date.issued2018-10
dc.description.abstractBackground: Delayed umbilical cord clamping is an effective strategy and particularly relevant for infants living in low-resource settings with less access to iron-rich foods and thus are at greater risk of anaemia. Objective: To compare the effect of umbilical cord milking (UCM) and delayed cord clamping (DCC) on haematological parameters (serum ferritin & hemoglobin) at birth and at 72 hours in term neonates. Methods: This was an Open Label Randomized Controlled Trial conducted at Suvidha Mother and Child Nursing Home Talab Tillo Jammu over a period of 6 months. A total of 68 babies born at > 37 weeks of gestation were randomized in three groups, group I UCM alone (n=28) , Group II DCC alone (n=23) and Group III both UCC and DCC (n=17) using simple randomization technique . In milking group, Umbilical cord was milked 4 times towards the baby at a speed of 10 cm / sec . In Delayed Cord Clamping group cord was clamped and cut 2-3 cm distance from the umbilical stump after 3 minutes of birth. In Group III both procedures were done simultaneously. Statistical analysis: ANOVAwas used to compare mean difference of outcome between three intervention arms. Two tailed Pvalue of <0.05 was taken as significant. SPSS version 20.0 was used for data analysis Results: The baseline characteristics were mostly comparable in the all the groups. Maximum increase in Haemoglobin and PCV was seen in group II i.e delayed cord clamping . Mean haemoglobin and heamatocrit (PCV) levels at 72 hours of life neonates in group II (17.7g% and 55.4 ) and group III (17.3g% and 54) were comparable . Conclusion: Both the interventions i.e Delayed cord clamping performed alone or in combination with umbilical cord milking had comparable effect on hematological status in term neonatesen_US
dc.identifier.affiliationsMD, Paediatrics, Consultant Paediatrician, CHC Katra, Directorate of Health Services Jammuen_US
dc.identifier.affiliationsMD, Community Medicine, Medical Officer, Department of Community Medicine Govt. Medical College Jammuen_US
dc.identifier.affiliationsMD, Obs and Gynae Associate Professor Department of Obs and Gynae SMGS Hospital, GMC, Jammu *Corresponding Authoren_US
dc.identifier.affiliationsMD, Obs and Gynae Senior Obstetrician Suvidha Mother and Child Nursing Homeen_US
dc.identifier.affiliationsMD, Obs and Gynae Lecturer.Department of Obs and Gynae SMGS Hospital GMC, Jammuen_US
dc.identifier.affiliationsMD, Pathology Lecturer Department of Pathology Govt.Medical College Jammuen_US
dc.identifier.citationSingh Virender, Dewan Deepika, Gupta Amita, Gupta Yudhistervir, Kakkar Tania, Gupta Rajat . Comparison Of Umbilical Cord Milking And Delayed Cord Clamping On Haemoglobin And Haematocrit Levels In Term Neonates. A Randomized Controlled Trial.. International Journal of Scientific Research. 2018 Oct; 7(10): 15-18en_US
dc.identifier.issn2277-8179
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/185576
dc.languageenen_US
dc.publisherWorld Wide Journalsen_US
dc.relation.issuenumber10en_US
dc.relation.volume7en_US
dc.subjectUmbilical cord milkingen_US
dc.subjectDelayed cord clampingen_US
dc.subjectHaemoglobinen_US
dc.subjectHeamatocriten_US
dc.titleComparison Of Umbilical Cord Milking And Delayed Cord Clamping On Haemoglobin And Haematocrit Levels In Term Neonates. A Randomized Controlled Trial.en_US
dc.typeJournal Articleen_US
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