Effect of timing of umbilical cord clamping on hemoglobin and hematocrit levels in preterm deliveries
Journal Title: IP International Journal of Medical Paediatrics and Oncology - Year 2017, Vol 3, Issue 3
Abstract
Introduction: Immediate cord clamping (ICC), a fairly new birth practice, is a common routine practice in hospital settings throughout the world, replacing the decade long older practice of delayed cord clamping (DCC). A delay in clamping the cord facilitates a gentle physiologic transition that benefits all neonates, especially to the vulnerable ones, resulting in increased infant’s hemoglobin and hematocrit levels. Objective: To determine the effect of timing of cord clamping on hemoglobin and hematocrit levels in preterm deliveries. Materials and Method: This was a hospital based prospective cohort study conducted in the department of Obstetrics and Gynecology, JNMC, Aligarh. A total number of 150 cases of preterm deliveries were included, which were randomly allocated to umbilical cord clamping done at<30 seconds i.e. Group A (50 cases), delayed cord clamping done at 60-120 seconds i.e. Group B (50 cases) and delayed cord clamping done at >180 seconds i.e. Group C (50 cases). Hemoglobin and hematocrit levels were assessed at birth, at 24 hours after birth and at discharge. Analysis was done using t- test, chi-square test and ANOVA test (Analysis Of Variance). Results: Mean hemoglobin and hematocrit levels at birth, 24 hours after birth and at discharge were significantly higher in the delayed cord clamped neonates as compared to the early clamped group. There was a significant rise in mean hemoglobin level in the delayed clamped group B (0.9±1.55 g/dl) and group C (1.82±1.68 g/dl) as compared to the early clamped group A, in which there was a reduction of 0.46 ± 1.66 g/dl, in hemoglobin levels. Statistically insignificant rise in mean hematocrit level was observed in delayed clamped group B (2.21 ± 2.97 %) and group C (1.24±3.22%), as compared to group A (1.41± 6.72%). Conclusion: Delayed cord clamping is associated with higher hematocrit and hemoglobin levels at birth, at 24 hours and at discharge in preterm deliveries. This is a low cost intervention and its implementation would be particularly relevant in under-resourced settings, where anemia is still a major challenge.
Authors and Affiliations
Megha Solanki, Mithlesh Dewangan, Shaheen Anjum, S. Manazir Ali
Keywords
Related Articles
- EP ID EP300846
- DOI 10.18231/2455-6793.2017.0027
- Views 77
- Downloads 0
Bacteriology of feeding bottles
The study was conducted to determine the bacteriological quality of 112 infantsrsquo feeding bottles Samples were collected from the feeding bottles brought by the caregivers of infants in the OPD of Dept of Pediatrics N...
Diphtheria in Children- Are we even close to control the menace?
Introduction: Despite the success of mass immunization in many countries worldwide, diphtheria continues to play a major role as a lethal resurgent infectious disease. The case reports of resurgence/persistence of diphth...
Harlequin Color Change in a New Born
Harlequin color change is a benign, transient skin color change of unknown etiology sometimes seen in the neonatal period. It has been rarely reported in preterm infants. Herein, we report a case of harlequin color chang...
Acute myeloid leukemia/ transient abnormal myelopoeisis masquerading as sepsis in a neonate with down syndrome
A term 7 day old girl with phenotype of Down syndrome presented with irritability, poor feeding and respiratory distress for one day. She had echymotic patches on trunk and arm, moderate hepato-splenomegaly, swollen cyan...
Current practice and emerging trends in management of common surgical congenital malformations in neonates
Congenital malformations are significant but underrecognized cause of mortality and morbidity due to disability in neonates in almost every part of the world. Their occurrence, subsequent management and outcome are direc...