Effect of Delayed Cord Clamping on Hematological Status of Newborns Assessed at 12 Hours of Life

Muhammad Ali Maqsood; Kanwal  Arif; Taqi Hasan; Basit  Javed; Asif Rasool; Muhammad Fahad

doi:10.51253/pafmj.v76iSUPPL-9.13359

Authors

Muhammad Ali Maqsood Department of Pediatrics, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Kanwal Arif Department of Pediatrics, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Taqi Hasan Department of Pediatrics, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Basit Javed Department of Pediatrics, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Asif Rasool Department of Pediatrics, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Muhammad Fahad Department of Pediatrics, Combined Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-9.13359

Keywords:

Clamp, Cord, Delayed, Early, Hematological

Abstract

Objective: To evaluate the effect of delayed cord clamping at 2 and 3 minute intervals following birth in newborns on the hematological status when assessed at 12 hours of life.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Pediatrics, Combined Military Hospital, Rawalpindi Pakistan, from Jun to Dec 2024.

Methodology: Neonates were divided into two groups based on cord clamping interval after birth, neonates delivered in Group-G2 had their cord clamping done at 2 minutes immediately after birth by the pediatric resident. Neonates in Group-G3 had cord clamping done at 3 minutes after birth. Primary variables studied were change in hemoglobin, hematocrit, and serum ferritin levels between both groups at 12 hours after birth. Maternal and demographic variables were also recorded.

Results: Hematological variables 12 hours after birth showed mean hemoglobin values of 21.01±0.75 g/dl in Group-G2 versus 20.96±0.75 g/dl in Group-G3 (p=0.653). Hematocrit assessed at 12 hours of life was 62.23±0.92 percent in Group-G2 versus 62.26±0.91 percent in Group-G3 (p=0.854). Serum ferritin values were 506.61±6.30 ng/ml in Group-G2 versus 506.67±6.46 ng/ml in Group-G3 (p=0.958)

Conclusion: We conclude that change in delayed cord clamping time of 2 and 3 minutes offer no significant advantage between increase in hematological parameters when studied at 12 hours of life even though both result in increased hematological variables when compared at birth.

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