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Objective: Objective of this study was to assess the impact of early versus
delayed cord clamping on mean hemoglobin level in term neonates.
Study Design: randomized controlled trial.
Place and Duration of Study: Department of Pediatric Medicine, Sir
Ganga Ram Hospital, Lahore during 6 months period from 1-10-2013 to
31-03-2014.
Subjects and Method: A total of 200 newborns (100 cases in each group)
were included in this study. In group-A, (100 cases) early cord clamping
was done while in group-B, (100 cases) delayed cord clamping was
performed and after 48 hours, blood was drawn from babies to measure
hemoglobin level in both groups.
Results: Nearly two third of mothers of newborns were between 26-30
years of age in both groups. Mean maternal age was 26.46 ± 2.74 and
26.47 ± 2.18 years in group-A and B, respectively. Mean gestational age
was 37.55 ± 0.77 in group-A and 37.58 ± 0.72 weeks in group-B. In group-A
60 (60.0%), and in group-B neonates (59.0%) were male while 40 (40.0%)
in group-A and 41 neonates (41.0%) in group-B were female. Mean
hemoglobin level in group-A was 12.85 ± 1.78 mg/dl and in group-B it was
18.26 ± 2.13 mg/dl with P value <0.001.
Conclusion: Levels of mean hemoglobin was found to be significantly
increased at 48 hours in term neonates whose cords were clamped at 3
minutes after birth.
Fouzia Ishaq , Asma Anwar, Nadia Shahid, Rashid Mahmood, Hasnain Abid. (2016) Impact of Early Versus Delayed Cord Clamping on Mean Hemoglobin Level in Term Neonates, Pakistan Pediatric Journal, Volume 40, Issue 4.
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