O098 EMERGENCY BLOOD TRANSFUSION IN OBSTETRIC PATIENTS

Abstract

Objectives: To compare maternal and neonatal effects of early (within one minute of delivery) and delayed cord clamping (2 minutes after delivery) in term infants. Materials: A randomized controlled trial was undertaken on 200 pregnant women in Institute of Child & Mother Health from March to August 2011. Methods: Informed written consent was obtained. Patients were randomly distributed in two groups. In group I, umbilical cord was clamped and cut within one minute of delivery. In group II, the baby was immediately dried and wrapped keeping the baby on the mother’s abdomen and breastfed; umbilical cord was clamped and cut two minutes after birth. Mothers were advised to come for follow-up on seventh postnatal day. Clinical findings of neonates and mothers were assessed after birth and at 7th days. Hemoglobin and feretin level at 7th day were compared between two groups. Satisfaction of mothers and birth attendants were enquired. Results: Two groups were similar in socio-demographic parameters and gestational age of the fetus. Occurrence of postpartum haemorrhage (3% Vs 2%, p = 1.00), retained placenta (3% Vs 1%, p = 0.62), need for maternal blood transfusion (6%Vs3%,p = 0.49), Newborns’ APGAR score at 5 minutes (4% Vs 2%, p = 0.68), clinical Jaundice (15% Vs 19%, p = 0.45) and need for phototherapy (2%Vs7%, p = 0.15) were not significantly different between early and delayed cord clamping groups. Newborns’ Haemoglobin (14.04±1.37Vs15.73±1.15g/dl, p < 0.001) and ferretin level (30.28±2.55 Vs 50.11±6.93ng/ml, p < 0.001) at seventh day were significantly higher in delayed cord clamping group. Level of satisfaction of mothers and birth attendants were higher among delayed cord clamping group. Conclusions: Delayed cord clamping is simple and safe. It may be beneficial for prevention of high prevalence of anaemia among infants of Bangladesh and other developing countries.