Effect of Early and Late Clamping of the Umbilical Cord on the Newborns Blood Analysis

Ninia, Kholod Al; Ashmauey, Asma; Qahtani, Noura Al

doi:10.21767/2574-2825.100010

Cited by 2 publications

(3 citation statements)

References 11 publications

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“…Compared with early cord clamping (ECC), DCC can effectively increase hemoglobin and serum ferritin levels and prevent anemia among newborns [5,[10][11][12][13][14]. The present study confirmed the benefit of DCC among newborns, as evidenced by the significantly increased hemoglobin levels at 24-48 hours of age with DCC at three minutes compared to that with DCC at one or two minutes.…”

Section: Discussionsupporting

confidence: 80%

“…Iron deficiency anemia represents a serious medical issue among children in low socioeconomic regions, and anemia prevention is crucial to promote the well-being of children [3]. Delayed cord clamping (DCC) has proven to be an effective approach to overcome this issue; however, variations in the timing of DCC have limited its application in the clinical setting [4][5][6][7]. Furthermore, many obstetricians and midwives are not aware of the precise timing or benefits related to DCC.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, many obstetricians and midwives are not aware of the precise timing or benefits related to DCC. Even today, there are certain ambiguities related to not only the timing but also the benefits versus risks of DCC [5]. Despite the availability of established guidelines by the World Health Organization (WHO), there are still gaps that need to be addressed in the practice of DCC in the clinical setting [2,8,9].…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Different Timings of Delayed Cord Clamping of Term Infants on Maternal and Newborn Outcomes in Normal Vaginal Deliveries

Katariya¹,

Swain²,

Singh³

et al. 2021

Cureus

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Background and objectiveDelayed cord clamping (DCC) has proven to be an ideal approach to reduce iron deficiency anemia; however, different timings of DCC relative to the birth outcome lead to conflicting results. The present study was conducted to determine the effects of different timings of DCC on the maternal and neonatal outcomes in normal vaginal deliveries at term. MethodsThis was an interventional study on neonates born at term without complications to mothers with uneventful pregnancies in the labor unit of a district hospital in Odisha, India. A total of 147 women were randomized to three intervention groups: DCC at one minute, DCC at two minutes, and DCC at three minutes. Hemoglobin and bilirubin levels, maternal blood loss, the timing of the third stage of labor, oxytocin use, and birth weight of the neonates were measured as the outcomes of different timings of DCC. ResultsAt 24-48 hours of age, hemoglobin and bilirubin levels of the neonates were significantly higher with DCC at three minutes compared to DCC at one and two minutes. However, there were no significant differences among the three groups in terms of the need for phototherapy. The duration of the third stage of labor was significantly longer with DCC at three minutes. Maternal blood loss, oxytocin use, and birth weight of the neonates were not significantly associated with the timing of DCC. ConclusionBased on our findings, waiting to clamp the umbilical cord until three minutes can effectively reduce the incidence of iron deficiency anemia in newborns.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Effect of Different Timings of Delayed Cord Clamping of Term Infants on Maternal and Newborn Outcomes in Normal Vaginal Deliveries

Katariya¹,

Swain²,

Singh³

et al. 2021

Cureus

View full text Add to dashboard Cite

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Neonatal Outcomes in Cord Clamping; An Observational Study Highlighting the Correlation of Cord Clamping Time with Haematological Parameters

Jamali¹,

Fatima²,

Yaqoob³

et al. 2018

SOJGOW

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Objectives: The purpose of this study was to evaluate the neonatal outcomes in cord clamping and to find their correlation with different haematological parameters in neonates of Jinnah Postgraduate Medical Centre, Karachi Methodology: This was an observational study in which non-probability convenient sampling technique was used after taking ethical approval. The study was conducted on 342 pregnant women in the Obstetrics & Gynaecology ward of Jinnah Postgraduate Medical Centre, Karachi, from 1st July 2016 to 31st December 2016.All the pregnant women from age of 25 to 45 years and without any haemolytic disease, with previous spontaneous vaginal deliveries, with a singleton pregnancy diagnosed via ultrasound during the first trimester and presenting in the 3rd stage of labour with a gestational age of ≥ 37weeks were included in the study. Soon after the delivery of placenta, the uterus was massaged either by patient herself or by the caretaker. Neonatal blood samples were gathered by the researcher through venipuncture following expulsion of the fetus and 24 hours after it and sent to the pathology laboratory of Jinnah Hospital for analysis. Data were analyzed in SPSS Version 20. Descriptive analysis was done. Pearson and Spearman tests were applied to see the correlation of cord clamping time. P-value of < 0.05 was taken as significant. Results: A total of 342 pregnant females in their third stage of labor were selected for this study. No correlation existed between hemoglobin and hematocrit with cord clamping time (p-value 0.661) and (p-value 0.439) respectively. Weak positive correlation (p=0.002, r = 0.169) existed between billirubin levels with clamping time. No correlation was observed with cord clamping time and anemia, low hematocrit or polycythemia (p-value 0.422), (p-value 0.058) and (p-value 0.20) respectively while weak negative correlation (ρ = -0.221) existed between high bilirubin levels in neonates with increasing cord clamping time (p-value < 0.001). Conclusion: According to our study, no correlation exists between hemoglobin and hematocrit with cord clamping time but weak positive correlation was observed between billirubin levels with clamping time in seconds. Keywords: cord clamping; correlation; haematological parameters

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Effect of Early and Late Clamping of the Umbilical Cord on the Newborns Blood Analysis

Cited by 2 publications

References 11 publications

The Effect of Different Timings of Delayed Cord Clamping of Term Infants on Maternal and Newborn Outcomes in Normal Vaginal Deliveries

The Effect of Different Timings of Delayed Cord Clamping of Term Infants on Maternal and Newborn Outcomes in Normal Vaginal Deliveries

Neonatal Outcomes in Cord Clamping; An Observational Study Highlighting the Correlation of Cord Clamping Time with Haematological Parameters

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