EFFECTS OF EARLY AND LATE CLAMPING OF UMBILICAL CORD ON HAEMOGLOBIN LEVEL OF PRETERM INFANTS AT 6 WEEKS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 13
Abstract
BACKGROUND The potential benefits of delayed cord clamping have been identified and they include less intraventricular haemorrhage, less need for blood transfusion, improvement in the blood pressure and cerebral oxygenation in low birth weight neonates. Increasing iron stores in infants through delayed cord clamping may be particularly beneficial in resource-poor settings where severe anaemia is common. The haematological benefits of delayed cord clamping in term and preterm babies has been found by many previous studies. The different haematological parameters which have shown improvement in preterm babies were higher levels of haemoglobin and haematocrit, and subsequent reduction in frequency of blood transfusions in first 4 to 6 weeks of life. METHODS This non-randomized trial was conducted in the department of Obstetrics & Gynaecology and Paediatrics at Army Hospital (Research & Referral), Delhi Cantt. from May 2011 to Apr 2013. Premature babies born consecutively between 34 to 36 weeks & 6 days of gestation were randomized with computer generated random number tables to delayed cord clamping (DCC) and early cord clamping (ECC) group as case & control. RESULTS 100 preterm neonates were included in study. Early cord clamping (ECC) was done in 50 babies and delayed cord clamping (DCC) in 50 babies. At six weeks of age haemoglobin in both DCC versus ECC group was measured. Haemoglobin levels in DCC group (9.25±0.59 gm/dl) were significantly higher than those in ECC group (9.0±0.50 gm/dl) (p - 0.018).
Authors and Affiliations
Ashish K. Gupta, Suhail A. Naik, Ranjit Ghuliani, Mohd Irshad
Keywords
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- EP ID EP555722
- DOI 10.14260/jemds/2019/220
- Views 54
- Downloads 0
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