Arif Aktug Ertekin1, Nilufer Nihan Ozdemir2, Zeki Sahinoglu3, Tugba Gursoy4, Nazan Erbil5, Erdal Kaya6. 1. a Department of Health Sciences , Uskudar University , Istanbul , Turkey . 2. b Department of Obstetrics , Zeynep Kamil Women and Children's Disease, Training and Research Hospital , Istanbul , Turkey . 3. c Department of Perinatology , Clinic of Obsterics and Gynecology, Anadolu Health Center , Kocaeli , Turkey . 4. d Department of Pediatrics , Koc University School of Medicine , Istanbul , Turkey . 5. e Department of Pediatrics , Zeynep Kamil Women and Children's Disease, Training and Research Hospital , Istanbul , Turkey , and. 6. f Department of Obstetrics and Gynecology , Bagcilar Training and Research Hospital , Istanbul , Turkey.
Abstract
OBJECTIVE: We investigated the effects of delayed and early clamping of the cord on the hematologic status of the baby at birth and at the end of second month. METHODS: Umbilical cord of 74 babies were clamped in the first 30 s (Group 1) and 76 were clamped at 90-120 s (Group 2). Levels of hemoglobin, hematocrit, iron and ferritin were analyzed from the umbilical cord blood at birth and from the venous samples at the end of second month. RESULTS: Hemoglobin, hematocrit, iron and ferritin levels of cord blood were similar in both groups. However, their levels other than ferritin were higher in Group 2 at the end of second month. Two babies had respiratory distress and twelve neonates received phototherapy in Group 2 whereas only five neonates received phototherapy in Group 1. CONCLUSION: Term babies to whom delayed cord clamping was performed had improved hematological parameters at the end of second month. Therefore, delaying cord clamping in these babies may be a favorible approach in preventing anemia.
OBJECTIVE: We investigated the effects of delayed and early clamping of the cord on the hematologic status of the baby at birth and at the end of second month. METHODS: Umbilical cord of 74 babies were clamped in the first 30 s (Group 1) and 76 were clamped at 90-120 s (Group 2). Levels of hemoglobin, hematocrit, iron and ferritin were analyzed from the umbilical cord blood at birth and from the venous samples at the end of second month. RESULTS: Hemoglobin, hematocrit, iron and ferritin levels of cord blood were similar in both groups. However, their levels other than ferritin were higher in Group 2 at the end of second month. Two babies had respiratory distress and twelve neonates received phototherapy in Group 2 whereas only five neonates received phototherapy in Group 1. CONCLUSION: Term babies to whom delayed cord clamping was performed had improved hematological parameters at the end of second month. Therefore, delaying cord clamping in these babies may be a favorible approach in preventing anemia.
Entities:
Keywords:
Early and delayed cord clamping; ferritin; hematocrit; hemoglobin; iron