DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20192022

Immediate effects of clamping of the umbilical cord on the newborns

Muhammad Hassan, Adarsh E., Sahana Manjunath, Shivtej N., Archana D. V., Vidhi Meta, Spoorthi S.

Abstract


Background: The optimal timing of cord clamping has been a controversial issue for decades. Most practitioners in developing countries clamp and cut the cord immediately after birth and this takes place during the third stage of labour. World Health Organization advises late cord clamping, however there is a debate on the optimal time for cord clamping. Delayed umbilical cord clamping appears to be beneficial for term and preterm infants.

Methods: This observational study was undertaken at Rajarajeswari Medical College and Hospital, Bangalore, Karnataka, India from June 2018 to January 2019.

Results: Total 100 neonates were studied of which 48 were females (48%) and 52 were males (52%). 76 babies (76%) were 3 day old in this study and 24 babies were (24%) 4 day old during the study period. 92 babies (92%) didn’t receive phototherapy in this study and 8 babies (8%) required phototherapy during the study period. No babies were polycythemic during this study period. Mean TB was 11.832 whereas mean DB was 0.5. Mean HCT was 56.332 and mean HB was 18.3002.

Conclusions: Present study concluded that there are various advantages if authors practiced delayed cord clamping including higher levels of haemoglobin and haematocrit levels.


Keywords


Anemia, Delayed cord clamping

Full Text:

PDF

References


Mercer JS, Skovgaard RL. Neonatal transitional physiology. J Perinatal Neonatal Nurse. 2002;15:56-75.

McDonald S. Management of the third stage of labor. J Midwifery and Women’s Health. 2007;52:254-61.

World Health Organization. Care in normal birth: a practical guide. Switzerland: WHO Safe Motherhood Technical Working Group: Geneva; 1996: 32-3.

Farrar D, Airey R, Law G, Tuffnell D, Cattle B, Duley L. Measuring placental transfusion for term births: weighing babies with cord intact. BJOG. 2011;118:70-5.

Rabe H, Diaz‐Rossello JL, Duley L, Dowswell T. Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes. Cochrane Database Sys Rev. 2012;(8).

McDonald SJ, Middleton P, Dowswell T, Morris PS. Cochrane in context: effect of timing of umbilical cord clamping in term infants on maternal and neonatal outcomes. Evidence‐Based Child Health: a Cochrane Rev J. 2014;9(2):398-400.

Prendiville W, Elbourne D. Care during the third stage of labour. In: Chalmers I, Enkin M, Keirse MJNC eds. Effective Care in Pregnancy and Childbirth. Oxford: Oxford University Press; 1989: 1145-1169.

Chaparro CM, Fornes R, Neufeld LM, Alavez GT, Cedillo RE, Dewey KG. Early umbilical cord clamping contributes to elevated blood lead levels among infants with higher lead exposure. J Pediatrics. 2007;151:506-12.

Hutton EK, Hassan ES. Late vs early clamping of the umbilical cord in full-term neonates: systematic review and meta-analysis of controlled trials. JAMA. 2007 Mar 21;297(11):1241-52.

Mercer JS. Current best evidence: a review of the literature on umbilical cord clamping. J Midwifery Women’s Heal. 2001;46(6):402-14.

Mercer JS. Current best evidence: a review of the literature on umbilical cord clamping. In: Wickham S, eds. Midwifery: Best Practice. Edinburgh: Elsevier, 2006; 4: 114-1129.

Rheenen P, Brabin BJ. Late umbilical cord clamping as an intervention for reducing iron deficiency in term infants in developing and industrialised countries: a systematic review. Ann of Trop Med. 2004;24(1):3-16.