Effect of duration of delayed cord clamping on serum bilirubin hematocrit and hemodynamic status in neonates

Abstract

Introduction:DCC is a common practice with several benefits. The benefits of DCC are decreased risk of anemia, less incidence of periventricular leukomalacia, less incidence of NEC. This study tries to compare the effect of different duration of delayed cord clamping on serum bilirubin, hematocrit and hemodynamic status of a neonate. Material and method:A prospective study was done over a span of one year comprising of 150 full term neonates. After obtaining consent prior before delivary females who met the inclusion criteria were randomly assigned to 3 groups.For group 1 the cord was clamped at a duration of 30 sec, 60 sec for group 2 and 120 sec for group 3. Exact time of delayed clamping was recorded using a stop watch. Serum bilirubin and hematocrit level and parameters like respiratory rate, pulse rate, capillary refill time and temperature was assessed at day three. Results: Group 1 showed a mean hematocrit % of 41.51 (SD 10.28). Group 2 showed mean hematocrit % of 45.11 (9.4) and mean hematocrit % of group 3 was 45.64 (8.37).