Effects of delayed umbilical cord clamping on maternal and neonatal outcomes
10.3761/j.issn.0254-1769.2018.02.003
- VernacularTitle:新生儿延迟断脐对母婴结局的影响研究
- Author:
Jialei FENG
1
;
Jun LIU
;
Airong BAO
;
Ying LIAN
;
Xuefei WANG
;
Jing QI
;
Lihong ZHAI
;
Yujuan HAN
Author Information
1. 100034,北京市 北京大学第一医院产房
- Keywords:
Delayed Clamping of Umbilical Cord;
Anemia;
Hemoglobin Concentration;
Jaundice,Neonatal
- From:
Chinese Journal of Nursing
2018;53(2):144-148
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the effects of delayed umbilical cord clamping on the postpartum hemorrhage,instant and long-term newborn anemia,newborn jaundice.Methods In total,303 infants were selected during October 2016 to June 2017 in three hospitals in Beijing.They were randomly allocated into two groups receiving instant clamping of umbilical cord (less than 60s after delivery,n=158) and delayed clamping of umbilical cord(after cord pulsation ceased,n=145).Relevant indicators of maternal and neonatal outcomes are compared.Results There were significant differences between two groups in instant hemoglobin concentration and in 5～7 days (P＜0.05).There were no differences between two groups in transcutaneous bilirubin,the risk of anemia in three months,the risk of jaundice in 5～7 days and the need of blue-light therapy (P＞0.05).There were no differences between two groups of women in postpartum hemorrhage,the length of third stage of labor and the rate of breast feeding (P＞0.05).Conclusion Clamping the umbilical cord when cord pulsation has ceased does not have negative effects on delivery process and postpartum hemorrhage,but it increases the instant hemoglobin concentration and hemoglobin concentration after delivery in 5～7 days.Still it is unclear whether it will affect the risk of jaundice.
