PHYSIOLOGICAL BASED CORD CLAMPING- AN ARCHAIC STEP RELEARNED CLINICAL STUDY AT A TERTIARY CARE CENTRE.

Abstract

Objective: To study maternal and perinatal outcomes in physiological based cord clamping in third stage of labour. Method: We conducted prospective observational study, in the Department of Obstetrics and Gynecology of Govt. Medical college & hospital, Aurangabad for 2 years to study physiological based cord clamping which is a method of deferred cord clamping until natural delivery of placenta. The placenta was allowed to deliver physiologically without any cord traction or cord pull, encouraging mothers own uterine contractions and taking help of gravity. Oxytocin was given intramuscularly to the mother only after complete placental delivery. Results: Out of 200 women most of them belong to age group 21-25 years (41.5%) with mean age of 24.78 ± 6.72 years. 47.5% were from upper lower class, 53.5% were G2 followed by 26.5% were primigravida's. About 72% women's GA was ranging between 37-40 weeks. In 89.5% women the time required for 3rd stage of labour ranged between 5-10 minutes while in 99% women's placenta expelled in <15 minutes. In our study 75% of women had outstanding experience after PCC. Among 200 neonates who delivered vaginally, had birth weight 2.5-3 kg (71%). majority of neonates had APGAR score ≥7 at 1 min were 97.50%, at 5 minute (100%) and 10 minute (100%) had Apgar score ≥7. It was observed that majority of neonates had heart rate 121-140 bpm at 1 minute (91.5%) and 5 minutes. (96%). Also, it was observed that mean temperature at 5 minutes was 98.32 ±1.08 F. Only 1.5% required NICU admission for neonatal jaundice. No case of hypothermia seen.