Published March 30, 2024 | Version v1
Journal article Open

A Study to Investigate the Effect of the Timing of DCC on Neonatal Outcomes

  • 1. Senior Resident, Department of Obstetrics and Gynecology, IGIMS, Patna, Bihar, India
  • 2. Associate professor, Department of Obstetrics and Gynecology, IGIMS, Patna, Bihar, India

Description

Abstract
Aim: The aim of the present study was to investigate the effect of the timing of DCC on hemoglobin levels,
neonatal outcomes and developmental status in neonatal.
Methods: The study was conducted at Department of Obstetrics and Gynecology, IGIMS, Patna, Bihar, India.
upon birth and at four months old on infants born to 200 pregnant women presenting to a healthcare center
affiliated to IGIMS, Patna, Bihar, India for one year.
Results: The results obtained showed no significant differences between the two groups in terms of the mothers’
mean age. The mean level of umbilical cord blood hemoglobin was significantly higher in the intervention group
compared to in the controls; the infants in the intervention group had developed jaundice more frequently than the
controls, although there were no significant differences between the two groups in terms of the need for
phototherapy. Studying the infants in terms of the different dimensions of their development at four months old
showed problem-solving to be the only dimension in which the two groups differed, as the intervention group
received higher scores for it nevertheless, no significant differences were observed in terms of the other
dimensions and the overall score.
Conclusion: The present study concluded that delays in umbilical cord clamping can significantly elevate
umbilical cord hemoglobin levels; however, it also increases the risk of neonatal jaundice and has no effects on
developmental status, except in the problem-solving dimension.

Abstract (English)

Abstract
Aim: The aim of the present study was to investigate the effect of the timing of DCC on hemoglobin levels,
neonatal outcomes and developmental status in neonatal.
Methods: The study was conducted at Department of Obstetrics and Gynecology, IGIMS, Patna, Bihar, India.
upon birth and at four months old on infants born to 200 pregnant women presenting to a healthcare center
affiliated to IGIMS, Patna, Bihar, India for one year.
Results: The results obtained showed no significant differences between the two groups in terms of the mothers’
mean age. The mean level of umbilical cord blood hemoglobin was significantly higher in the intervention group
compared to in the controls; the infants in the intervention group had developed jaundice more frequently than the
controls, although there were no significant differences between the two groups in terms of the need for
phototherapy. Studying the infants in terms of the different dimensions of their development at four months old
showed problem-solving to be the only dimension in which the two groups differed, as the intervention group
received higher scores for it nevertheless, no significant differences were observed in terms of the other
dimensions and the overall score.
Conclusion: The present study concluded that delays in umbilical cord clamping can significantly elevate
umbilical cord hemoglobin levels; however, it also increases the risk of neonatal jaundice and has no effects on
developmental status, except in the problem-solving dimension.

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Dates

Accepted
2024-03-23