Abstract

Perinatal iron deficiency has received little attention in the past, due to assumption that infants are protected from iron deficiency unless the mother is markedly anemic. In a survey in India, 70% of infants between 6 and 11 months of age were found anaemic [1].

Highlights

  • Perinatal iron deficiency has received little attention in the past, due to assumption that infants are protected from iron deficiency unless the mother is markedly anemic

  • For the first time in term babies, our study demonstrated that both umbilical cord milking (UCM) and delayed cord clamping (DCC) have comparable benefits in improving hematological status at 6 weeks without affecting the cerebral blood flow indices or producing any noteworthy significant adverse neonatal outcomes in initial 48 hours of life

  • As DCC has already been formulated as standard of care in all deliveries by American Academy of Pediatrics, UCM can be recommended in all deliveries in which DCC is not feasible or not practiced for any reason

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Summary

Introduction

Perinatal iron deficiency has received little attention in the past, due to assumption that infants are protected from iron deficiency unless the mother is markedly anemic. Iron stores at birth can be affected by trans-placental transfer of iron and blood from the placenta and cord at the time of delivery [1]. To enhance their transfer from placenta and umbilical cord to baby, interventions like umbilical cord milking and delayed cord clamping have received a lot of scientific attention. They serve to potentially enhance neonatal blood volume and iron stores after birth

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