Delayed cord clamping was not associated with an increased risk of hyperbilirubinaemia on the day of birth or jaundice in the first 4weeks.

Abstract

Our aim was to investigate the effects of timing of cord clamping on the risk of hyperbilirubinaemia. We recruited 540 normal vaginal deliveries at the Paropakar Maternity and Women's Hospital in Kathmandu, Nepal, from October 2 to November 21, 2014. They were randomised into two groups: 257/270 were cord clamped within 60seconds and 209/270 after 180seconds. Transcutaneous bilirubin was measured at discharge and 24hours. At 4weeks, 506 mothers were successfully contacted by phone, and the health status of the baby and their history of jaundice and treatment was recorded. Based on transcutaneous bilirubin at discharge, 22/261 (8.4%) in the early group and 25/263 (9.5%) in the delayed group (P=0.76) were at high risk of subsequent hyperbilirubinemia. At the 4-week follow-up, jaundice was reported in 13/253 (5.1%) in the early and 17/253 (6.7%) in the delayed group (P=0.57) and 3/253 (1.2 %) of the early and 1/253 (0.4%) of the delayed group (P=0.62) received treatment. All analyses were based on intention-to-treat. Delayed cord clamping was not associated with an increased risk of hyperbilirubinaemia during the first day of life or risk of jaundice within 4weeks compared with the early group.