Abstract
OBJECTIVE: To compare maternal preoperative and postoperative hemoglobin variation after cord clamping. METHODS: Randomized clinical trial performed in Porto Alegre, RS from January to December 2012. It was included 356 women with habitual risk gestations. In the immediate cord clamping group, the umbilical cord section was realized between 0 and 60 s (group 1) while in the delayed cord clamping group it was realized >60 s (group 2). RESULTS: The mean (±standard deviation [SD]) preoperative hemoglobin was 12.13 ± 1.06 in the group 1 and 12.13 ± 1.11 in the group 2. The mean (±SD) postoperative day 2 hemoglobin level was 10.19 ± 1.46 in the group 1 and 10.24 ± 1.42 in the group 2. CONCLUSIONS: Delayed umbilical cord clamping resulted in a similar maternal hemoglobin level reduction at postoperative day 2.
Highlights
The third period of childbirth is characterized by the moment after birth until placental expulsion
Delayed umbilical cord clamping resulted in a similar maternal hemoglobin level reduction at postoperative day 2
The median [P75—interquartile range (P25) - P75] gestational age was 39.57 [38.86 - 40.43] weeks, 195 (54.8%) gestations were vaginal deliveries, and most of them were performed without episiotomy (51.4%) and forceps (94.7%), and they did not use oxytocin (55.1%), misoprostol (96.1%), or methylergometrine (94.7%)
Summary
The third period of childbirth is characterized by the moment after birth until placental expulsion. The active management of the third period of delivery is performed with routine use of 10 units of intramuscular oxytocin after detachment of the newborn’s shoulders, followed by clamping and immediate sectioning of the umbilical cord and controlled traction of the placenta, immediate umbilical cord clamping is no longer recommended, except in cases where the newborn needs urgent care, with no absolute contraindication for delayed umbilical cord clamping (between 1 and 3 min after birth, for term newborns). This practice is recommended in the third period of delivery as a way to promote maternal and newborn health [3] [4] [5]. Evidence for neonatal benefits with delayed umbilical cord clamping is strong, data related to maternal outcomes are lacking, especially after cesarean section [9]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
