Abstract Issue

Volume 12 Issue 4 ( October-December ) 2023

Original Articles

Early Versus Delayed Cord Clamping: A Quasi-Experimental Study
Dr. Vijay Singh, Dr. Abhishek Bansal, Dr. Richa Rathoria, Dr. Ekansh Rathoria, Dr. Utkarsh Bansal

Introduction: This study aimed to determine the postpartum effects of early versus delayed cord clamping on neonatal and maternal parameters. METHODS: This quasi-experimental study was conducted on term pregnant women in labour at a tertiary care center for 1 year. Selected 340 participants were randomized into two groups equally of 170 each for Group-A Early cord clamping (ECC) within 60 seconds and Group-B Delayed cord clamping (DCC) between 60 to 180 seconds. The neonates were assessed about haemoglobin, haematocrit, polycythaemia, hyperbilirubinemia, phototherapy requirement, transient tachypnoea of newborns (TTNB), and mothers were assessed for postpartum haemorrhage (PPH). SPSS software version 20 was used to analyze the data. The p-value <0.05 was considered significant. RESULTS: The mean maternal age (years), mean gestational age (weeks), and mean baby weight (kilograms) in Group-A were 24.56 (2.96), 38.41 (1.56), and 2.79 (0.3) respectively while in Group-B were 25.54 (3.11), 39.48 (1.85), and 2.84 (0.33) respectively. The hemoglobin, haematocrit, and total serum bilirubin levels were significantly more in Group-B (p-value <0.0001). Neonatal polycythaemia and TTNB showed a significant association in Group-B (p-value <0.0001). No significant association was seen between direct bilirubin levels, phototherapy requirement, and PPH with any group (p-value >0.05). CONCLUSION: This study concluded that the hemoglobin and haematocrit status of newborns are improved by delaying cord clamping thus protecting neonates against iron deficiency and supporting the newborn's healthy neurological growth and development. Therefore, delayed cord clamping should be the rule in uncomplicated term deliveries.

 
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