PURPOSE OF INVESTIGATION: To explore the effect of delayed umbilical cord clamping in cesarean section on outcomes of mothers and newborns. MATERIALS AND METHODS: A total of 338 pregnant women under cesarean section were randomly divided into two groups: study group with delayed umbilical cord clamping after pulsation loss, and control group with early clamping within 60 seconds after birth. RESULTS: There were no significant differences in hemoglobin and hematocrit in newborn cord blood, the highest bilirubin after birth, Apgar scores at one and five minutes after birth, and in the occurrence of neonatal hyperbilirubinemia or application of phototherapy. There were significant differences in placental residual blood, the amount of postpartum bleeding, hemoglobin and hematocrit in newborn heel blood, and the rate of neonatal resuscitation after ten minutes in both groups. CONCLUSION: Umbilical cord clamping should be employed after pulsation loss to avoid adverse effect of early clamping.
RCT Entities:
PURPOSE OF INVESTIGATION: To explore the effect of delayed umbilical cord clamping in cesarean section on outcomes of mothers and newborns. MATERIALS AND METHODS: A total of 338 pregnant women under cesarean section were randomly divided into two groups: study group with delayed umbilical cord clamping after pulsation loss, and control group with early clamping within 60 seconds after birth. RESULTS: There were no significant differences in hemoglobin and hematocrit in newborn cord blood, the highest bilirubin after birth, Apgar scores at one and five minutes after birth, and in the occurrence of neonatal hyperbilirubinemia or application of phototherapy. There were significant differences in placental residual blood, the amount of postpartum bleeding, hemoglobin and hematocrit in newborn heel blood, and the rate of neonatal resuscitation after ten minutes in both groups. CONCLUSION: Umbilical cord clamping should be employed after pulsation loss to avoid adverse effect of early clamping.
Authors: Myra H Wyckoff; Eunice M Singletary; Jasmeet Soar; Theresa M Olasveengen; Robert Greif; Helen G Liley; David Zideman; Farhan Bhanji; Lars W Andersen; Suzanne R Avis; Khalid Aziz; Jason C Bendall; David C Berry; Vere Borra; Bernd W Böttiger; Richard Bradley; Janet E Bray; Jan Breckwoldt; Jestin N Carlson; Pascal Cassan; Maaret Castrén; Wei-Tien Chang; Nathan P Charlton; Adam Cheng; Sung Phil Chung; Julie Considine; Daniela T Costa-Nobre; Keith Couper; Katie N Dainty; Peter G Davis; Maria Fernanda de Almeida; Allan R de Caen; Edison F de Paiva; Charles D Deakin; Therese Djärv; Matthew J Douma; Ian R Drennan; Jonathan P Duff; Kathryn J Eastwood; Walid El-Naggar; Jonathan L Epstein; Raffo Escalante; Jorge G Fabres; Joe Fawke; Judith C Finn; Elizabeth E Foglia; Fredrik Folke; Karoline Freeman; Elaine Gilfoyle; Craig A Goolsby; Amy Grove; Ruth Guinsburg; Tetsuo Hatanaka; Mary Fran Hazinski; George S Heriot; Karen G Hirsch; Mathias J Holmberg; Shigeharu Hosono; Ming-Ju Hsieh; Kevin K C Hung; Cindy H Hsu; Takanari Ikeyama; Tetsuya Isayama; Vishal S Kapadia; Mandira Daripa Kawakami; Han-Suk Kim; David A Kloeck; Peter J Kudenchuk; Anthony T Lagina; Kasper G Lauridsen; Eric J Lavonas; Andrew S Lockey; Carolina Malta Hansen; David Markenson; Tasuku Matsuyama; Christopher J D McKinlay; Amin Mehrabian; Raina M Merchant; Daniel Meyran; Peter T Morley; Laurie J Morrison; Kevin J Nation; Michael Nemeth; Robert W Neumar; Tonia Nicholson; Susan Niermeyer; Nikolaos Nikolaou; Chika Nishiyama; Brian J O'Neil; Aaron M Orkin; Osokogu Osemeke; Michael J Parr; Catherine Patocka; Jeffrey L Pellegrino; Gavin D Perkins; Jeffrey M Perlman; Yacov Rabi; Joshua C Reynolds; Giuseppe Ristagno; Charles C Roehr; Tetsuya Sakamoto; Claudio Sandroni; Taylor Sawyer; Georg M Schmölzer; Sebastian Schnaubelt; Federico Semeraro; Markus B Skrifvars; Christopher M Smith; Michael A Smyth; Roger F Soll; Takahiro Sugiura; Sian Taylor-Phillips; Daniele Trevisanuto; Christian Vaillancourt; Tzong-Luen Wang; Gary M Weiner; Michelle Welsford; Jane Wigginton; Jonathan P Wyllie; Joyce Yeung; Jerry P Nolan; Katherine M Berg Journal: Resuscitation Date: 2021-11-11 Impact factor: 5.262