COMPARATIVE STUDY BETWEEN DELAYED UMBILICAL CORD CLAMPING AND MILKING OF UMBILICAL CORD IN REGARD OF HEMATOCRIT LEVELAND NEURODEVELOPMENTAL OUTCOME AMONG PRETERM/LOW BIRTH WEIGHT BABIES IN A TERTIARY CARE HOSPITAL OF WEST BENGAL

Abstract

Introduction: It is well established that Delayed cord clamping, in which cord is clamped only after a short delay (30 to 180 sec) after birth, improves iron status, reduce anemia and need for blood transfusion in later life, and also provides higher amount of placental stem cells to the infant without causing signicant harm to the mother and baby. Aims: To Compare Haematocrit level after 48 hours of age in preterm and low birth weight babies between the delayed umbilical cord clamping and umbilical cord milking and to compare neurodevelopmental outcome at third and six completed months of age in preterm and low birth weight babies between the delayed umbilical cord clamping and umbilical cord milking. Materials and Methods:The present study was a Hospital based Interventional study. This study was conducted from January 2021 – June 2022at Labour Room and operation theatre of College of Medicine & Sagore Dutta Hospital, Kolkata-700058, a tertiary centre in West Bengal.80 patients were included in this study. Result:In our study, higher number of patients had Neck Holding(6 months) [29 (72.5%)]in Milking of Umbilical Cord compared to Delayed Umbilical Cord Clamping [27 (67.5%)] but this was not statistically signicant (p=0.6255) And higher number of patients had Roll Over(6 months) [29(72.5%)]in Milking of Umbilical Cord compared to Delayed Umbilical Cord Clamping [27 (67.5%)] though it was not statistically signicant (p=0.1432). Conclusion: It was found that, the mean Birth Weight (gm.) was not signicantly lower in Milking of Umbilical Cord compared to Delayed Umbilical Cord Clamping. And the mean Haemoglobin at 48 hours was signicantly lower in Milking of Umbilical Cord compared to Delayed Umbilical Cord Clamping.