Early vs. Delayed Cord Clamping at Full-Term Planned Cesarean Section: A Randomized Study - Open Journal of Obstetrics and Gynecology

OJOG > Vol.11 No.6, June 2021

Open Journal of Obstetrics and Gynecology

Volume 11, Issue 6 (June 2021)

ISSN Print: 2160-8792 ISSN Online: 2160-8806

Google-based Impact Factor: 0.37 Citations h5-index & Ranking

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

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Download as PDF (Size: 211KB) PP. 647-653

DOI: 10.4236/ojog.2021.116060 182 Downloads 1,017 Views

Author(s)

K. Morales-Allard^1*, C. Montufar-Rueda^1,2, S. Gomez-Manrique³

Affiliation(s)

¹Department of Obstetrics and Gynecology, Complejo Hospitalario Dr. Arnulfo Arias M. CSS, Panama City, Panama.
²Critical Care Obstetrics Unit, Department of Obstetrics and Gynecology, Complejo Hospitalario Dr. Arnulfo Arias M. CSS, Panama City, Panama.
³Neonatal Intensive Care Unit, Complejo Hospitalario Dr. Arnulfo Arias M. CSS, Panama City, Panama.

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 - 48 hours) of 57.47 ± 8.65 vs. 59.54 ± 7.67, showing no significant difference. Also, no significant differences were observed in the change in maternal hemoglobin in two groups. Conclusions: Cord clamping at 15 vs. 90 seconds did not yield neonatal hematocrit change or maternal hemoglobin change. As far as the present data (neonatal and maternal anemia) was concerned, cord may be clamped at 15 seconds in planned term CS.

KEYWORDS

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

Share and Cite:

Morales-Allard, K. , Montufar-Rueda, C. and Gomez-Manrique, S. (2021) Early vs. Delayed Cord Clamping at Full-Term Planned Cesarean Section: A Randomized Study. Open Journal of Obstetrics and Gynecology, 11, 647-653. doi: 10.4236/ojog.2021.116060.

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