A clinical study of fetal outcome following early and delayed cord clamping in births associated with anemia in pregnancy

Bibliographic Details
Title: A clinical study of fetal outcome following early and delayed cord clamping in births associated with anemia in pregnancy
Authors: Lata Singh, Dhirendra P Singh, Deepika, Chitra Raghunandan, Navdeep Dhoat
Source: Journal of Family Medicine and Primary Care, Vol 11, Iss 5, Pp 1789-1793 (2022)
Publisher Information: Wolters Kluwer Medknow Publications, 2022.
Publication Year: 2022
Collection: LCC:Medicine
Subject Terms: early cord clamping, delayed cord clamping, Medicine
More Details: Background: As there is a risk for infant anaemia, early cord clamping which is usually performed at 10-15 seconds of delivery was changed to delayed cord clamping for at least for 30 seconds Delayed cord clamping (DCC) increases the blood volume and haemoglobin levels in newborns and reduces risk of iron deficiency anaemia in both term and preterm infants. Early clamping allows cord blood collection in benefit for transplantation of stem cells. Research Objective: To compare levels of haemoglobin, hematocrit and serum ferritin at birth and 4 weeks of age in babies as well as neonatal outcome following early and delayed cord clamping in births associated with anaemia in pregnancy. Study Design: An observational study. Participants: Anaemic pregnant women with period of gestation 32-40 weeks admitted in labour room for delivery were enrolled. Intervention: Grouping of the patients was done according to the timing of the umbilical cord clamping. 1. Early cord clamping (< 60 seconds) 2. Delayed cord clamping (1 – 3 minutes) Of which 58 subjects were in ECC (early cord clamping)and 62 were in DCC (delayed cord clamping)group Results: There was no significance of ECC or DCC in developing polycythemia, IVH or hyperbilirubinemia or increased need of blood transfusion. The levels of haemoglobin, hematocrit and ferritin levels were showing significant increased among DCC as compared to ECC Conclusion: Delayed cord clamping significantly increases the levels of haemoglobin, Serum ferritin and hematocrit at 4 weeks of age. It should be recommended in routine practice where it is not contraindicated especially in resource- poor settings.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2249-4863
Relation: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=5;spage=1789;epage=1793;aulast=Singh; https://doaj.org/toc/2249-4863
DOI: 10.4103/jfmpc.jfmpc_882_21
Access URL: https://doaj.org/article/2e72422fd121476d945c782f31cfc31c
Accession Number: edsdoj.2e72422fd121476d945c782f31cfc31c
Database: Directory of Open Access Journals
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More Details
ISSN:22494863
DOI:10.4103/jfmpc.jfmpc_882_21
Published in:Journal of Family Medicine and Primary Care
Language:English