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Early vs. Delayed Cord Clamping at Full-Term Planned Cesarean Section: A Randomized Study

DOI: 10.4236/ojog.2021.116060, PP. 647-653

Keywords: Umbilical Cord Clamping, Elective Cesarean Section, Neonatal Hematocrit, Neonatal Jaundice, Obstetric Hemorrhage

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Abstract:

Objective: In cesarean section (CS), which, early vs. delayed cord clamping is better for neonatal and maternal hematocrit/hemoglobin level is not yet completely determined. This randomized controlled study attempted to determine this issue. Methods: Study population consisted of 64 full-term pregnant women/neonates undergoing planned CS: 32 received early cord clamping (ECC: 15 seconds after birth) and 32 delayed cord clamping (DCC: 90 seconds). We measured and analyzed 1) neonatal hematocrit at the first 24 - 48 hours, and 2) maternal-hemoglobin-change before and after CS. Results: Infants with ECC and DCC showed hematocrit (24

References

[1]  Rudolph, A.M. (1979) Fetal and Neonatal Pulmonary Circulation. Annual Review of Physiology, 41, 383-395.
https://doi.org/10.1146/annurev.ph.41.030179.002123
[2]  Hooper, S.B, Te Pas A.B. and Lang, J. (2014) Cardiovascular Transition at Birth: A Physiological Sequence. Pediatric Research, 77, 608-614.
https://doi.org/10.1038/pr.2015.21
[3]  Katheria, A.C., Lakshminrusimha, S. and Rabe, H. (2016) Placental Transfusion: A Review. Journal of Perinatology, 37, 105-111.
[4]  Markey, G. and Morris, T.C. (1996) Neonatal Prevention of Iron Deficiency. Placental Transfusion Might Reduce Prevalence of Iron Deficiency. BMJ, 312, 1103.
https://doi.org/10.1136/bmj.312.7038.1103
[5]  Raju, T.N. and Singhal, N. (2012) Optimal Timing for Clamping the Umbilical Cord after Birth. Clinics in Perinatology, 39, 889-900.
https://doi.org/10.1016/j.clp.2012.09.006
[6]  Yao, A.C., Moinian, M. and Lind, J. (1969) Distribution of Blood between Infant and Placenta after Birth. Lancet, 2, 871-873.
https://doi.org/10.1016/S0140-6736(69)92328-9
[7]  Zhou, Y.B., Li, H.T., Zhu, L.P. and Liu, J.M. (2014) Impact of Cesarean Section on Placental Transfusion and Iron. Related Hematological Indices in Term Neonates: A Systematic Review and Meta-Analysis. Placenta, 35, 1-8.
https://doi.org/10.1016/j.placenta.2013.10.011
[8]  Andersson, O., Hellström-Westas, L. and Dormellöf, M. (2016) Elective Caesarean: does Delay in Cord Clamping for 30 s Ensure Sufficient Iron Stores at 4 Months of Age? A Historical Cohort Control Study. BMJ Open, 6, e012995.
https://doi.org/10.1136/bmjopen-2016-012995
[9]  Cavallin, F., Galeazzo, B., Loretelli, V., Madella, S., Pizzolato, M., Visentin, S. and Trevisanuto, D. (2019) Delayed Cord Clamping Versus Early Cord Clamping in Elective Cesarean Section: A Randomized Controlled Trial. Neonatology, 116, 252-259.
https://doi.org/10.1159/000500325
[10]  Chen, X., Li, X., Chang, Y., Li, W. and Cui, H. (2018) Effect and Safety of Timing of Cord Clamping on Neonatal Hematocrit Values and Clinical Outcomes in Term Infants: A Randomized Controlled Trial. J Perinatol., 38, 251-257.
https://doi.org/10.1038/s41372-017-0001-y
[11]  McDonald, S., Middleton, P., Dowswell, T. and Morris, P.S. (2013) Effect of Timing of Umbilical Cord Clamping of Term Infants on Maternal and Neonatal Outcomes. Cochrane Database of Systematic Reviews, 2013, CD004074.
https://doi.org/10.1002/14651858.CD004074.pub3
[12]  Qian, Y., Lu, Q., Shao, H., Ying, X., Huang, W. and Hua, Y. (2020) Timing of Umbilical Cord Clamping and Neonatal Jaundice in Singleton Term Pregnancy. Early Human Development, 142, Article ID: 104948.
https://doi.org/10.1016/j.earlhumdev.2019.104948
[13]  Sun, M., Song, X., Shi, W., Shan, N. and Zhang, H. (2017) Delayed Umbilical Cord Clamping in Cesarean Section Reduces Postpartum Bleeding and the Rate of Severe Asphyxia. Clinical and Experimental Obstetrics & Gynecology, 44, 14-16.
[14]  Withanathantrige, M. and Goonewardene, I. (2017) Effects of Early Versus Delayed Umbilical Cord Clamping during Antepartum Lower Segment Cesarean Section on Placental Delivery and Postoperative Haemorrhage: A Randomized Controlled Trial. Ceylon Medical Journal, 62, 5-11.
https://doi.org/10.4038/cmj.v62i1.8425

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