scholarly journals Delayed Cord Clamping Prevalence Among US Hospitals

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 793-793
Author(s):  
Jasmine Nakayama ◽  
Cria Perrine ◽  
Heather Hamner ◽  
Ellen Boundy
Keyword(s):  
Cesarean Section ◽  
Infant Nutrition ◽  
Cesarean Section Rate ◽  
Teaching Hospitals ◽  
Delayed Cord Clamping ◽  
Term Infants ◽  
Non Profit ◽  
Funding Sources ◽  
Official Position ◽  
Cord Clamping

Abstract Objectives Delayed cord clamping (DCC) allows transfusion of placental blood to a newborn after birth and is recommended by the American College of Obstetricians and Gynecologists. DCC can increase hemoglobin levels and iron stores in term infants, preventing or delaying iron deficiency in young children. This study describes the prevalence of DCC in US hospitals overall and by facility characteristics. Methods The 2018 Maternity Practices in Infant Nutrition and Care survey is a census of US hospitals providing maternity care and assesses hospitals' practices, including “How many healthy newborns at your hospital have their umbilical cord clamped more than one minute after birth?” We estimated the prevalence of hospitals reporting that most (i.e., 80%+) healthy newborns received DCC overall and by facility characteristics (i.e., Baby-Friendly designation, teaching status, type, annual live births, and annual Cesarean section rate). Results 2,042 hospitals were included, and 50% reported that most healthy newborns received DCC. DCC prevalence was 49% at non-Baby Friendly hospitals and 53% at Baby-Friendly hospitals. The prevalence of healthy newborns receiving DCC was 50% at teaching hospitals and 51% at non-teaching hospitals. DCC prevalence ranged from 43% among private hospitals to 52% among non-profit hospitals, from 46% among hospitals with 2,000–4,999 births births/year to 53% among hospitals with <500 births/year, and from 37% among hospitals with annual Cesarean section rates ≥35% to 61% among hospitals with annual Cesarean section rates <25%. Conclusions This study provides a national baseline for DCC among US hospitals. Only half of hospitals report DCC for most healthy newborns with notable variation by annual Cesarean section rate. There are opportunities to increase DCC prevalence to meet recommendations through continued training of clinicians, modification of obstetric protocols, and greater awareness among patients. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Funding Sources No funding was provided for this study.

Increment in Phototherapy After Adopting Delayed Cord Clamping Practice

2021 ◽  
pp. 097321792110607
Author(s):  
Chinmay Chetan ◽  
Nishant Banait ◽  
Vikramaditya Athelli ◽  
Bhvya Gupta ◽  
Prince Pareek ◽  
...  
Keyword(s):  
Tertiary Care ◽  
World Health ◽  
Care Hospital ◽  
Delayed Cord Clamping ◽  
Term Infants ◽  
Cord Clamping ◽  
Early Cord Clamping ◽  
Baseline Characteristics ◽  
Health Organization ◽  
Larger Sample

Introduction: World Health Organization (WHO) in 2014 recommended delayed cord clamping (DCC) in all babies who cry immediately after birth. Despite many benefits, there are concerns of increased rate of phototherapy in babies receiving DCC. This study was done to determine the increment in the rate of phototherapy required in infants managed with DCC vs infants managed with early cord clamping (ECC). Methods: A retrospective observational study was conducted in a tertiary care hospital in Pune, India. All the infants born between January 2018 and July 2018, for whom ECC was done, were compared with infants who were born between January 2019 and July 2019, after DCC policy was adopted. All the infants with birth weight ≥2 kg and gestation ≥35 weeks, who were with their mother, were included. Baseline characteristics were compared for both the groups. American Academy of Pediatrics guidelines for treatment of neonatal jaundice were used to determine the need for phototherapy. Number of infants in both the groups who required phototherapy were compared. Results: The ECC group had 565 infants while DCC group had 731 infants. There was no difference in the baseline characteristics of the 2 groups. Jaundice requiring phototherapy was noted in 31% of infants in the ECC group, compared to 45% in infants in the DCC group (relative risk: 1.47 [1.27-1.71] [ P < .001]). Conclusion: In this study, DCC increased the need for phototherapy by 47% in late preterm and term infants. Randomized control trials with larger sample size are required to confirm this finding.

Effects of Umbilical Cord Milking on Term Infants Delivered by Cesarean Section

2020 ◽  
Author(s):  
Arpitha Chiruvolu ◽  
Alexis Medders ◽  
Yahya Daoud
Keyword(s):  
Cohort Study ◽  
Adverse Effects ◽  
Cesarean Section ◽  
Blood Volume ◽  
Umbilical Cord ◽  
Short Term ◽  
Term Infants ◽  
Cord Clamping ◽  
Time Period ◽  
Umbilical Cord Milking

Abstract Objective Umbilical cord milking (UCM) is an efficient way to achieve optimal placental transfusion in term infants born by cesarean section (CS). However, it is not frequently performed due to concern for short-term adverse effects of increased blood volume, such as polycythemia and hyperbilirubinemia. The aim of this study is to evaluate the short-term effects of UCM on term infants delivered by CS. Study Design We conducted a pre- and postimplementation cohort study comparing term infants delivered by CS who received UCM five times (141 infants, UCM group) during a 6-month period (August 1, 2017 to January 31, 2018) to those who received immediate cord clamping (ICC) during the same time period (105 infants, postimplementation ICC) and during a 3-month period (October1, 2016 to December 31, 2016) prior to the implementation of UCM (141 infants, preimplementation ICC). Results Mothers were older in UCM group compared with both ICC groups. There were no significant differences in other maternal or neonatal characteristics. Although this study was not powered to detect differences in outcomes, the occurrence of hyperbilirubinemia needing phototherapy, symptomatic polycythemia, NICU admissions, or readmissions for phototherapy was similar between the groups. Conclusion UCM intervention was not associated with increased incidence of phototherapy or symptomatic polycythemia in term infants delivered by CS.

scholarly journals Assessment of effectiveness of delayed cord clamping and umbilical cord milking in early term and preterm infants

2018 ◽  
Vol 5 (6) ◽  
pp. 2071
Author(s):  
Mahendra K. Jain ◽  
Nidhi Bhedru ◽  
Anubhuti Jain
Keyword(s):  
Umbilical Cord ◽  
Randomized Study ◽  
Delayed Cord Clamping ◽  
Term Infants ◽  
Early Term ◽  
Cord Clamping ◽  
Significant Difference ◽  
Insignificant Difference ◽  
Nicu Admission ◽  
Umbilical Cord Milking

Background: Early cord clamping and cutting of the umbilical cord is widely practiced as part of the management of labor; it could deprive the neonate of about a quarter of its blood volume and iron. This thesis is aimed at comparing effects of delayed cord clamping versus umbilical cord milking at birth in preterm and early term infants.Methods: This single centered randomized study was conducted in Department of Pediatrics and data collection was done on the basis of the preterm and early term infants delivered by vaginal or cesarean delivery in Department of Gynecology, Geetanjali Medical College and Hospital, Udaipur during period of January 2016 to January 2017. Total of 120 infants were included in the study.Results: Statistically it has been analyzed that in both pre-term and early term infants who underwent DDC and UCM, there was insignificant difference in level of hemoglobin (Hb), haematocrit (HCT), blood sugar, bilirubin level (TSB) and temperature of body. On the other hand, significant difference was observed in weight and cord pH of neonates of both groups. There is also insignificant difference in terms of NICU admission for RDS, sepsis, phototherapy, need of oxygen, saline boluses, PRBC transfusion, polycythemia.Conclusions: Thus, overall it was observed that there is insignificant difference in delayed cord clamping and umbilical cord milking group. Thus, both are found to be equally effective in improving hematologic parameters. 

scholarly journals Pengaruh Delayed Cord Clamping terhadap Kadar Hemoglobin (HB) dan Hematokrit (HT) pada Bayi

2020 ◽  
Vol 15 (1) ◽  
pp. 112-121
Author(s):  
Bunga Tiara Carolin ◽  
Suprihatin . ◽  
Ami Damayanti
Keyword(s):  
T Test ◽  
Deficiency Anemia ◽  
Control Group ◽  
Delayed Cord Clamping ◽  
Term Infants ◽  
Control Group Design ◽  
Cord Clamping ◽  
Group Data ◽  
The Mean ◽  
Experimental Group

The main serious problem in Indonesia is anemia, this is a major nutritional problem in children in Indonesia. The incidence of iron deficiency anemia in term infants 0-6 months is 40.8%. One of the efforts to deal with anemia in infants and toddlers is by delaying the clamping and cutting of the center because the newborn is still getting a blood transfusion from the placenta around 100 ml. The Objective to determine the effect of delaying cord clamping and cutting on hemoglobin (Hb) and hematocrit (Ht) levels in infants at Utama Anny Rahardjo Clinic. This research is an experimental research with posttest only control group design. The population in this study were all babies born from May - July 2019. Sampling in the study with purposive sampling so that 15 respondents were obtained as the control group and 15 respondents as the experimental group. Data analysis uses independent t-test. The mean Hb and Ht levels of the control group were 15.033 gr/dl and 46.25% and the mean in the experimental group was 19.332 gr/dl for Hb and Ht 59.11%. The results of the analysis by independent t-test obtained a significance value 0,000. The Conclusion there are differences in Hb and Ht levels in infants with immediate and delayed cord cutting and clamping.

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

2021 ◽  
Vol 11 (06) ◽  
pp. 647-653
Author(s):  
K. Morales-Allard ◽  
C. Montufar-Rueda ◽  
S. Gomez-Manrique
Keyword(s):  
Cesarean Section ◽  
Randomized Study ◽  
Full Term ◽  
Delayed Cord Clamping ◽  
Cord Clamping

FEASIBILITY AND OUTCOME OF DELAYED CORD CLAMPING IN TERM CESAREAN SECTION BORN NEONATES

2021 ◽  
pp. 4-5
Author(s):  
Bhaswati Ghoshal ◽  
Argha Maitrya ◽  
Tanmay Majumdar ◽  
Ivy Mandal
Keyword(s):  
Cesarean Section ◽  
Serum Ferritin ◽  
Postpartum Haemorrhage ◽  
Tertiary Care ◽  
Iron Store ◽  
Care Hospital ◽  
Cesarean Sections ◽  
Delayed Cord Clamping ◽  
Cord Clamping ◽  
Early Cord Clamping

Background: Through delayed cord clamping is recommended, it is less frequently performed in cases of cesarean sections .In this study delayed cord clamping was requested to obstetricians in term well newborn who cried at birth and followed these neonates during hospital stay and till 6 weeks of life and also compared with cases in whom early cord clamping was done. Objective:To nd out the feasibility of delayed cord clamping in term newborns delivered by cesarean section and its outcomes in rst few days of life in terms of jaundice , NICU stay and hemoglobin and serum ferritin at 6weeks of age. Setting :Tertiary care hospital (Calcutta national medical college) in department of Obstetrics from March to December,2019. Design-Prospective observational cohort study Method- During this period total 3732 cesarean sections was done on term pregnancy. Obstreticians were requested for delayed cord clamping for more than 120 seconds where baby cried at birth by a counseling session of 30 minutes. Outcome was compared with early cord clamping cases(10-15secs) at early neonatal period for jaundice ,NICU stay and at 6weeks for hemoglobin and serum ferritin. RESULTS: In 236 cases (6.37% ) it was feasible to perform delayed cord clamping after requesting obstetricians. There is no signicant difference in jaundice, morbidity, maternal postpartum haemorrhage in delayed cord clamping group in early neonatal period.Haemoglobine [11.9+- 0.5gm/dl vs 9.5 +-0.5gm/dl(p<0.01)]and ferritin[339+-102ng/ml vs 179+-99ng/ml(p<0.01)] levels were signicantly more in delayed cord clamping group at 6weeks of postnatal age. Conclusion: Feasibility of delayed cord clamping is still very low in cesarean delivery but strongly recommended for building iron store in neonates. Delayed cord clamping for 120 seconds does not increase postpartum haemorrhage in mother.

scholarly journals Delayed Cord Clamping Increased the Need for Phototherapy Treatment in Infants With AB0 Alloimmunization Born by Cesarean Section: A Retrospective Study

2018 ◽  
Vol 6 ◽  
Author(s):  
Stefano Ghirardello ◽  
Beatrice L. Crippa ◽  
Valeria Cortesi ◽  
Elena Di Francesco ◽  
Dario Consonni ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Cesarean Section ◽  
Delayed Cord Clamping ◽  
Cord Clamping

scholarly journals Pemerahan dan penundaan penjepitan tali pusat terhadap kadar hemoglobin bayi baru lahir

2018 ◽  
Vol 5 (3) ◽  
pp. 195-200
Author(s):  
Ahmaniyah Ahmaniyah ◽  
Kamilah Hidajati ◽  
Ari Suwondo
Keyword(s):  
Treatment Group ◽  
Umbilical Cord ◽  
Vascular System ◽  
Sampling Technique ◽  
Deficiency Anemia ◽  
Control Group ◽  
Delayed Cord Clamping ◽  
Term Infants ◽  
Cord Clamping ◽  
Umbilical Cord Milking

The incidence of iron deficiency anemia in term infants from 0-6 months is 40.8%. Efforts to reduce anemia in infants and toddlers is by ensuring the baby gets blood from the placenta through the umbilical cord. Labor occurs when oxygen shifts from the heart to the lungs 8-10% of the fetal period to 50% in neonates. Immediate cord clamping vascular resistance from the disconnected placenta which results in the increased of resistance of the baby's vascular system and eliminates about 1/4 of the volume of blood and iron in the neonate. The time of cutting the umbilical cord is a determining factor for placental transfusion to the baby. Delay cord clamping and umbilical cord milking are expected to provide iron reserves in infant. The aim of this study was to determine the differences in umbilical cord milking and delayed cord clamping. The design used experimental study with posttest-Only Control Group. The sampling technique used simple random sampling differs into treatment group and control group. The treatment group was umbilical cord milking and the control group was delayed cord clamping. The highest average of Hb levels in the umbilical cord milking group was 17.3mmHg and the delayed cord clamping group was 15.75 mmHg. Difference test on umbilical cord milking group and delayed cord clamping group used independent T-test obtained P <0.05 (p = 0,001). It is recommended that midwives used umbilical cord milking as an alternative action in providing midwifery care to newborns when clamping and cutting the umbilical cord. It was proven that there were differences in the haemoglobin levels of newborns between the umbilical cord milking group and delayed cord clamping group.

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