TITLE:
Correlation between Mode of Delivery and Newborn’s Cord Blood Composition
AUTHORS:
Abd El-Naser Abd El-Gaber Ali, Ahmed Mustafa Mahmoud
KEYWORDS:
Correlation, Mode of Delivery, Newborn, Cord Blood Composition
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.9 No.3,
March
20,
2019
ABSTRACT: OBJECTIVE: The aim of this study is to find out the effect of delivery mode on
newborn’s cord blood parameters particularly hemoglobin and hematocrite values. SETTING: Obstetrics and Gynecology Department, Qena Faculty of Medicine,
South Valley University, Egypt. DURATION: From April 2015 to December
2017. STUDY DESIGN: A cross sectional study. METHODS: 900 live born neonates for healthy mothers were included in this study; all
cases were delivered at full-term, with birth weight ranged from 2.5 to 3.5 Kg
and had APGAR scores above 7 at 1 and 5 minutes. Newborns were divided into
three groups (Group I included 300 newborns delivered by vaginal delivery
without augmentation of labor, Group II included 300 newborns delivered vaginally with augmentation of
labor and Group III included 300 newborns delivered by elective cesarean
section). Blood sample was collected from the umbilical vein of each
neonate for estimation of hemoglobin, hematocrit, RBCs count, platelets, WBCs
count and reticulocytes. RESULTS: Cesarean section delivery had a
statistically significant decrease in the level of iron-related hematologic
indices including hemoglobin, hematocrit and RBCs count (p value a positive
correlation among newborns cord blood hemoglobin as regard to head
circumference, length and gestational age and negative correlations as regard
to maternal age, parity and birth weight with no statistically significance (P
value > 0.05). CONCLUSIONS: Cesarean section delivery had a
significant decrease in the level of iron-related hematologic indices including
hemoglobin, hematocrit and RBCs count and has a non-significant decrease in
WBCs and platelets counts in neonatal cord blood, which suggest high prevalence
of newborn iron-deficiency anemia among cesarean births particularly in developing
communities.