Effect of Early versus Delayed Cord Clamping on Hematological Parameters of Term Neonates

Q4 Medicine

Indonesian Journal of Obstetrics and Gynecology Pub Date : 2022-01-30 DOI:10.32771/inajog.v10i1.1618

Chaithra Ravishankar, R. Das, Chandrabhanu Dalal, T. Pattanaik

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引用次数: 0

Abstract

Objectives : To compare the serum bilirubin, hemoglobin, and hematocrit in term infants undergoing delayed cord clamping with early cord clamping after normal and caesarean delivery.Methods : This is a prospective observational study. The neonates in which cord clamping was done within 15 seconds were considered in early cord clamping (ECC) group and where cord clamping was done after 1 minute was considered in delayed cord clamping (DCC) group. The PCV, Hb, serum bilirubin were observed after 48 hours in both the groups and compared.Results : There was statistically significant difference in means of Hb level (p = 0.001) and PCV level (p = 0.001) between DCC and ECC group whereas no statistically significant difference was present in total serum bilirubin level (p = 0.359).Conclusion: There was no significant increase in risk of polycythaemia and hyperbilirubinemia between delayed cord clamping and early cord clamping group rather has beneficial effects in increasing the haemoglobin and haematocrit in the infants.Keywords : delayed cord clamping, early cord clamping, hematocrit, hemoglobin, serum bilirubin, hyperbilirubinemia. Abstrak Tujuan: Untuk membandingkan bilirubin serum, hemoglobin, dan hematoklit pada bayi aterm yang dilakukan delayed cord clamping dan early cord clamping setelah persalinan normal dan seksio sesarea.Metode: Studi ini merupakan studi prospektif. Neonatus yang dilakukan cord clamping dalam 15 detik dikelompokkan pada delayed cord clamping (DCC). PCV, Hb, bilirubin serum diobservasi dalam 48 jam pada kedua kelompok, kemudian dibandingkan.Hasil: Terdapat perbedaan signifikan antara kadar Hb (p = 0,001) dan PCV (p = 0,0010 antara kelompok DCC dan ECC, sedangkan tidak terdapat perbedaan signifikan pada kadar bilirubin serum total (p = 0,3590Kesimpulan: Tidak terdapat peningkatan signifikan polisitemia dan hyperbilirubinemia antara DCC dan ECC.Kata kunci: delayed cord clamping, early cord clapming, hematokrit, hemoglobin, serum bilirubin, hyperbilirubinemia

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早期与延迟脐带夹紧对足月新生儿血液学指标的影响

目的：比较正常分娩和剖腹产后延迟脐带夹闭和早期脐带夹闭的足月儿的血清胆红素、血红蛋白和红细胞压积。方法：这是一项前瞻性的观察性研究。早期夹绳（ECC）组考虑在15秒内夹绳的新生儿，延迟夹绳（DCC）组考虑1分钟后夹绳的婴儿。48小时后观察两组患者的PCV、Hb、血清胆红素并进行比较。结果：DCC组和ECC组的Hb水平（p=0.001）和PCV水平（p=0.001）平均值存在统计学显著差异，而血清总胆红素水平（p=0.059）无统计学显著差异相反，该组在增加婴儿的血红蛋白和红细胞压积方面具有有益效果。关键词：延迟脐带夹闭术，早期脐带夹闭，红细胞压积，血红蛋白，血清胆红素，高胆红素血症。文章摘要：在正常及正常范围内，采用延迟夹绳和早期夹绳的方法，可测定血清胆红素、血红蛋白和新生儿红细胞。Metode：这项研究是一项前瞻性研究。在延迟脐带夹持（DCC）的基础上，15天内完成脐带夹持的新生儿。PCV、Hb、胆红素在两组瘢痕疙瘩48小时内分别测定。结果：血红蛋白（p＝0001）和PCV（p＝00010）在DCC和ECC患者中有显著性差异，但在血清总胆红素水平上没有显著性差异（p=03590 Keimpulan：DCC和ECC之间的Politimia和高胆红素血症没有显著增加

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