Clinical evaluation of delayed cord clamping in outcome in preterm babies admitted in district female hospital, Basti, Uttar Pradesh
Dr. Alka Shukla
The optimal time-point for umbilical cord clamping after delivery has been under debate for several decades. Through this study we endeavoured to look into and compare both the beneficial and adverse effects of delayed and immediate cord clamping. As per 2015 NRP guidelines on clamping of umbilical cord, early clamping is within 30 seconds and delayed cord clamping is more than 30 seconds after birth for a healthy term newborn. Hence based on above findings the present study was planned for Clinical Evaluation of Delayed Cord Clamping in Outcome in Preterm Babies Admitted in District Female Hospital, Basti, Uttar Pradesh. The study was conducted in District Female Hospital, Department of Paediatrics, Basti, UP from May 2016 to May 2019 on 50 patients. The cases were divided in two study groups as neonates undergoing the Early Cord Clamping and Delayed Cord clamping. The data generated from the present study concluded that clinical profile of neonates with delayed clamping of cord is also better with less perceived need for blood transfusion. The incidence of hyperbilirubinemia requiring phototherapy was increased in Delayed Cord clamping group. No exchange transfusion was required. There was no significant increase in the number of neonates with polycythaemia in the Delayed Cord clamping group. No beneficial or detrimental effect on the incidence of IVH was noted in the study group.