COMPARISON OF DELAYED CORD CLAMPING AND CORD MILKING EFFECTS ON NEONATAL APGAR SCORE AND HAEMATOCRIT

Neonatal Apgar Score And Haematocrit

  • Ghulam Sabir Combined Military Hospital Hyderabad/National University of Medical Sciences (NUMS) Pakistan
  • Ayesha Raja Combined Military Hospital Malir/National University of Medical Sciences (NUMS) Pakistan
  • Saira Mahboob Pakistan Naval Ship Shifa Hospital, Karachi Pakistan
  • Saima Shoukat Combined Military Hospital Malir/National University of Medical Sciences (NUMS) Pakistan
  • Ali Kashif Pakistan Naval Ship Shifa Hospital, Karachi Pakistan
  • Shazia Iffat Combined Military Hospital Attock/National University of Medical Sciences (NUMS) Pakistan
Keywords: APGAR score, Caesarean section, Delayed cord clamping, Umbilical cord milking, Neonatal Haematocrit

Abstract

Objective: To assess the feasibility of umbilical cord milking as an alternative to delayed cord clamping during caserean section by comparing neonatal outcomes.

Study Design: Quasi experimental study.

Place and Duration of Study: Department of Anesthesiology, Combined Military Hospital, Okara, from Mar to Oct 2018.

Methodology: A total of 384 cases (n=192 in each group) were included in our study. In group A, the half-length of umbilical cord was milked thrice by the operating surgeon before clamping and cutting it. In group B the umbilical cord was cut 90 second after delivery of the baby. The outcomes were: APGAR score at one and five minutes after delivery, haemglobin and haematocrit 4 hours after delivery of baby. Requirement of oxygen and ventilatory support during the 24 hours after birth were also noted.

Results: Our two study groups didn’t vary in their demographic profile. The difference between the APGAR score at one and five minutes was not statistically significant, (p>0.05). The diffrence in haemoglobin and haematocrit levels of the neonates 4 hours after delivery were insignificant (p-value 0.27 and 0.14 respectively).

Conclusion: Milking of the umbilical cord can be used as an alternative to the recommended technique of delayed umbilical cord clamping, especially when immediate resuscitation of the newborn is needed.

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Published
2021-10-31
How to Cite
Sabir, G., Raja, A., Mahboob, S., Shoukat, S., Kashif, A., & Iffat, S. (2021). COMPARISON OF DELAYED CORD CLAMPING AND CORD MILKING EFFECTS ON NEONATAL APGAR SCORE AND HAEMATOCRIT. PAFMJ, 71(5), 1811-15. https://doi.org/10.51253/pafmj.v71i5.3508
Section
Original Articles