Effects of Early and Delayed Cord Clamping on Haematocrit and Serum Bilirubin among Term Neonates at a Tertiary Hospital in North Central Nigeria
Background: The optimal timing for umbilical cord clamping, whether it is early cord clamping (ECC) immediately after birth or delayed cord clamping (DCC) done after a certain duration or cessation of cord pulsation, remains a topic of ongoing debate. The choice between these approaches has the pote...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Nigerian Journal of Medicine |
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| Online Access: | https://journals.lww.com/10.4103/NJM.NJM_20_25 |
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| author | Ushakuma Michael Anenga Terrumun Zaiyol Swende Bernard Terkimbi Utoo Faeren Dogoh |
| author_facet | Ushakuma Michael Anenga Terrumun Zaiyol Swende Bernard Terkimbi Utoo Faeren Dogoh |
| author_sort | Ushakuma Michael Anenga |
| collection | DOAJ |
| description | Background:
The optimal timing for umbilical cord clamping, whether it is early cord clamping (ECC) immediately after birth or delayed cord clamping (DCC) done after a certain duration or cessation of cord pulsation, remains a topic of ongoing debate. The choice between these approaches has the potential to impact neonatal outcomes.
Aim:
The study aimed at comparing the effects of early versus delayed umbilical cord clamping on neonatal haematocrits and serum bilirubin after a normal delivery.
Methods:
This randomised controlled trial involved 178 term babies and mother pairs randomised into the DCC group (A) and ECC group (B). Neonatal haematocrit was measured at 2 and 24 h of life and serum bilirubin at 24 h of life. Other outcomes included neonatal anaemia, polycythaemia, jaundice and maternal post-partum blood loss.
Results:
The neonatal haematocrit was significantly higher in babies with delayed compared ECC at two hour (P = 0.001) and 24 h after birth (P = 0.001). The mean serum total bilirubin 24 h after birth was significantly higher in babies with DCC (P = 0.001). The proportion of neonates with anaemia was not significantly different between the two groups (P = 0.088), likewise the incidence of polycythaemia (P = 0.146) and post-partum blood loss (P = 0.097).
Conclusion:
The study’s findings underscore the benefits of DCC, as it increased neonatal haematocrit levels without leading to adverse maternal or neonatal outcomes and hence should be considered for adoption as a policy in our environment. |
| format | Article |
| id | doaj-art-ddf4a762ca6a4cd0a212a4c2003f7c8f |
| institution | Kabale University |
| issn | 1115-2613 2667-0526 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Nigerian Journal of Medicine |
| spelling | doaj-art-ddf4a762ca6a4cd0a212a4c2003f7c8f2025-08-20T03:36:23ZengWolters Kluwer Medknow PublicationsNigerian Journal of Medicine1115-26132667-05262025-04-013429910510.4103/NJM.NJM_20_25Effects of Early and Delayed Cord Clamping on Haematocrit and Serum Bilirubin among Term Neonates at a Tertiary Hospital in North Central NigeriaUshakuma Michael AnengaTerrumun Zaiyol SwendeBernard Terkimbi UtooFaeren DogohBackground: The optimal timing for umbilical cord clamping, whether it is early cord clamping (ECC) immediately after birth or delayed cord clamping (DCC) done after a certain duration or cessation of cord pulsation, remains a topic of ongoing debate. The choice between these approaches has the potential to impact neonatal outcomes. Aim: The study aimed at comparing the effects of early versus delayed umbilical cord clamping on neonatal haematocrits and serum bilirubin after a normal delivery. Methods: This randomised controlled trial involved 178 term babies and mother pairs randomised into the DCC group (A) and ECC group (B). Neonatal haematocrit was measured at 2 and 24 h of life and serum bilirubin at 24 h of life. Other outcomes included neonatal anaemia, polycythaemia, jaundice and maternal post-partum blood loss. Results: The neonatal haematocrit was significantly higher in babies with delayed compared ECC at two hour (P = 0.001) and 24 h after birth (P = 0.001). The mean serum total bilirubin 24 h after birth was significantly higher in babies with DCC (P = 0.001). The proportion of neonates with anaemia was not significantly different between the two groups (P = 0.088), likewise the incidence of polycythaemia (P = 0.146) and post-partum blood loss (P = 0.097). Conclusion: The study’s findings underscore the benefits of DCC, as it increased neonatal haematocrit levels without leading to adverse maternal or neonatal outcomes and hence should be considered for adoption as a policy in our environment.https://journals.lww.com/10.4103/NJM.NJM_20_25delayed cord clampingearly cord campinghaematocritserum bilirubinterm neonate |
| spellingShingle | Ushakuma Michael Anenga Terrumun Zaiyol Swende Bernard Terkimbi Utoo Faeren Dogoh Effects of Early and Delayed Cord Clamping on Haematocrit and Serum Bilirubin among Term Neonates at a Tertiary Hospital in North Central Nigeria Nigerian Journal of Medicine delayed cord clamping early cord camping haematocrit serum bilirubin term neonate |
| title | Effects of Early and Delayed Cord Clamping on Haematocrit and Serum Bilirubin among Term Neonates at a Tertiary Hospital in North Central Nigeria |
| title_full | Effects of Early and Delayed Cord Clamping on Haematocrit and Serum Bilirubin among Term Neonates at a Tertiary Hospital in North Central Nigeria |
| title_fullStr | Effects of Early and Delayed Cord Clamping on Haematocrit and Serum Bilirubin among Term Neonates at a Tertiary Hospital in North Central Nigeria |
| title_full_unstemmed | Effects of Early and Delayed Cord Clamping on Haematocrit and Serum Bilirubin among Term Neonates at a Tertiary Hospital in North Central Nigeria |
| title_short | Effects of Early and Delayed Cord Clamping on Haematocrit and Serum Bilirubin among Term Neonates at a Tertiary Hospital in North Central Nigeria |
| title_sort | effects of early and delayed cord clamping on haematocrit and serum bilirubin among term neonates at a tertiary hospital in north central nigeria |
| topic | delayed cord clamping early cord camping haematocrit serum bilirubin term neonate |
| url | https://journals.lww.com/10.4103/NJM.NJM_20_25 |
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