TITLE:
Early vs. Delayed Cord Clamping at Full-Term Planned Cesarean Section: A Randomized Study
AUTHORS:
K. Morales-Allard, C. Montufar-Rueda, S. Gomez-Manrique
KEYWORDS:
Umbilical Cord Clamping, Elective Cesarean Section, Neonatal Hematocrit, Neonatal Jaundice, Obstetric Hemorrhage
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.6,
June
7,
2021
ABSTRACT: Objective: In cesarean section (CS), which, early vs. delayed cord clamping is
better for neonatal and maternal hematocrit/hemoglobin level is not yet
completely determined. This randomized controlled study attempted to determine
this issue. Methods: Study population consisted of 64 full-term pregnant women/neonates
undergoing planned CS: 32 received early cord clamping (ECC: 15 seconds after
birth) and 32 delayed cord clamping (DCC: 90 seconds). We measured and analyzed 1) neonatal hematocrit at the first 24 - 48 hours,
and 2) maternal-hemoglobin-change before and after CS. Results: Infants with ECC and DCC showed hematocrit (24 - 48 hours)
of 57.47 ± 8.65 vs. 59.54 ± 7.67, showing no significant difference. Also, no
significant differences were observed in the change in maternal hemoglobin in
two groups. Conclusions: Cord clamping at 15 vs. 90 seconds did not
yield neonatal hematocrit change or maternal hemoglobin change. As far as the
present data (neonatal and maternal anemia) was concerned, cord may be clamped
at 15 seconds in planned term CS.