THE EFFECTIVENESS OF DELAYED CORD CLAMPING ON INFANT OUTCOMES

Rizki Amalia, Zaiyidah Fathony, P. P. Lestari
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Abstract

Introduction: Lately, delayed cord clamping is often used as a method of cutting the umbilical cord which is expected to provide good outcomes for the baby, but this method still needs to be studied in depth through review articles to find out its effect. This study aims to compare the results of studies on the effectiveness of delayed cord clamping methods on bilirubin levels and neurodevelopment of infants and toddlers.Method: The method in this study is a scoping review with PRISMA guidelines, the data bases used are Pubmed and Google Schoolar. The inclusion criteria for this study included randomized control trial, quasi-experimental, and clinical trial designs.Result: There are 6 articles that discuss the effectiveness of DCC on neurodevelopment. In the Age of stage questionnaire, there are 5 domains that have high average values, which are problem solving, fine motor skills, and communication. On the Bayley Scales of Infant Development questionnaire which has the highest average score is the motor cognitive domain. Most of the articles that discuss the effectiveness of DCC on bilirubin levels show that there is an increase in bilirubin levels after the DCC intervention.Conclusion: DCC is less effective on neurodevelopment and bilirubin levels. It is necessary to develop further research in Indonesia regarding the effects of DCC on neurodevelopment and bilirubin levels
延迟脐带夹紧对婴儿结局的影响
最近,延迟脐带夹持常被作为一种切断脐带的方法,有望为婴儿提供良好的结局,但这种方法仍需要通过综述文章进行深入研究,以了解其效果。本研究旨在比较延迟脐带夹紧方法对婴幼儿胆红素水平和神经发育影响的研究结果。方法:本研究的方法是采用PRISMA指南进行范围综述,使用的数据库为Pubmed和Google Schoolar。本研究的纳入标准包括随机对照试验、准实验和临床试验设计。结果:有6篇文章讨论了DCC对神经发育的影响。在年龄阶段问卷中,有5个领域的平均值较高,分别是问题解决能力、精细运动技能和沟通能力。在贝利婴儿发展量表问卷中,运动认知领域的平均分最高。大多数讨论DCC对胆红素水平有效性的文章表明,DCC干预后胆红素水平升高。结论:DCC对神经发育及胆红素水平影响较小。有必要在印度尼西亚进一步研究DCC对神经发育和胆红素水平的影响
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