Skip to main navigation menu Skip to main content Skip to site footer

Medicine

Vol 9 No 2 (2024): December

Global Impact of Delayed Cord Clamping on Newborn Health
Dampak Global Penundaan Penjepitan Tali Pusat pada Kesehatan Bayi Baru Lahir



(*) Corresponding Author
DOI
https://doi.org/10.21070/acopen.9.2024.5941
Published
May 21, 2024

Abstract

Anemia and neonatal jaundice are major contributors to infant mortality. This study investigates the effects of delayed umbilical cord clamping on neonatal hemoglobin levels and jaundice. Using a quasi-experimental posttest-only control design, 101 newborns were sampled and divided into immediate clamping (<3 minutes) and delayed clamping (>3 minutes) groups. Hemoglobin levels were measured within 24 hours, and jaundice was assessed on days 4-7. Results showed that delayed clamping significantly increased hemoglobin levels (P = 0.000) and reduced jaundice incidence (P = 0.010). The findings suggest that delayed clamping improves early infant health outcomes and should be adopted in health facilities.

 

Highlight:  

  1. Delayed clamping improves hemoglobin, reduces jaundice in newborns.
  2. Quasi-experimental design compares immediate vs. delayed cord clamping effects.
  3. Adopting delayed clamping enhances early infant health outcomes.

Keyword:  Anemia, neonatal jaundice, delayed cord clamping, hemoglobin levels, infant health

References

  1. C. Padilla-Sánchez, S. Baixauli-Alacreu, A. J. Cañada-Martínez, Á. Solaz-García, M. J. Alemany-Anchel, and M. Vento, “Delayed vs Immediate Cord Clamping Changes Oxygen Saturation and Heart Rate Patterns in the First Minutes after Birth,” Journal of Pediatrics, vol. 227, pp. 149-156.e1, 2020, doi: 10.1016/j.jpeds.2020.07.045.
  2. M. Bruckner, A. C. Katheria, and G. M. Schmölzer, “Delayed cord clamping in healthy term infants: More harm or good?,” Seminars in Fetal and Neonatal Medicine, vol. 26, no. 2, 2021, doi: 10.1016/j.siny.2021.101221.
  3. K. C. Ashish, N. Rana, M. Malqvist, L. J. Ranneberg, K. Subedi, and O. Andersson, “Effects of delayed umbilical cord clamping vs early clamping on anemia in infants at 8 and 12 months: A randomized clinical trial,” JAMA Pediatrics, vol. 171, no. 3, pp. 264–270, 2017, doi: 10.1001/jamapediatrics.2016.3971.
  4. D. Hutchon and C. Uwins, “Delayed umbilical cord clamping after childbirth: Potential benefits to baby's health,” Pediatric Health, Medicine and Therapeutics, p. 161, 2014, doi: 10.2147/phmt.s51867.
  5. R. Sekartini et al., “Prevalence of Iron Deficiency Anemia in Infants Aged 4–12 Months in Matraman District and Surrounding Areas, East Jakarta,” Sari Pediatrica, vol. 7, no. 1, p. 2, 2016, doi: 10.14238/sp7.1.2005.2-8.
  6. Y. Qian et al., “Early versus delayed umbilical cord clamping on maternal and neonatal outcomes,” Archives of Gynecology and Obstetrics, vol. 300, no. 3, pp. 531–543, 2019, doi: 10.1007/s00404-019-05215-8.
  7. N. Kumbhat et al., “Umbilical cord milking vs delayed cord clamping and associations with in-hospital outcomes among extremely premature infants,” Journal of Pediatrics, vol. 232, pp. 87-94.e4, 2021, doi: 10.1016/j.jpeds.2020.12.072.
  8. O. L. Andersson, "Effects of Delayed versus Early Cord Clamping on Healthy Term Infants," vol. 1, 2013.
  9. O. Andersson et al., “Effect of delayed cord clamping on neurodevelopment at 4 years of age: A randomized clinical trial,” JAMA Pediatrics, vol. 169, no. 7, pp. 631–638, 2015, doi: 10.1001/jamapediatrics.2015.0358.
  10. R. E. K. et al., “Impact of Delayed Cord Clamping on Neonatal Jaundice,” Journal of Research in Indonesian Midwifery, vol. 4, no. 2, pp. 49–53, 2020, doi: 10.32536/jrki.v4i2.98.
  11. M. F. F. Sonjaya, S. Ratunanda, and E. N. Rochmah, “The Compatibility of Kramer's Examination Results with Blood Bilirubin Examination in Full-Term Neonates Aged 0-7 Days with Hyperbilirubinemia (in the Perinatology Room of Dustira Hospital),” Journal of Ahmad Yani University, pp. 1–11, 2018, [Online]. Available: http://repository.unjani.ac.id/repository/b8a162aca46177d75ce25b768a37b44a.pdf
  12. Health Department of Surabaya City, "Description of neonatal jaundice," 2020.
  13. N. A. Auliasari et al., “Risk Factors for Neonatal Jaundice,” Pediomaternal Nursing Journal, vol. 5, no. 2, p. 183, 2019, doi: 10.20473/pmnj.v5i2.13457.
  14. “Delayed Umbilical Cord Clamping After Birth,” Pediatric Clinical Practice Guidelines & Policies, pp. 1317–1317, 2021. doi: 10.1542/9781610021494-part06-delayed_umbilical_cor.
  15. P. M. Awal et al., “Early Human Development Time of Umbilical Cord Clamping and Neonatal Jaundice in Full-Term Singleton Pregnancies,” vol. 142, no. 109, pp. 4–8, 2020.
  16. S. D. McDonald et al., “Guideline No. 424: Umbilical Cord Management in Preterm and Term Infants,” Journal of Obstetrics and Gynaecology Canada, vol. 44, no. 3, pp. 313-322.e1, 2022, doi: 10.1016/j.jogc.2022.01.007.
  17. N. Publication, “Overview of neonatal jaundice,” 2019.
  18. I. . Rendra K. A et al., “Delaying Umbilical Cord Clamping as an Effective Strategy to Reduce Incidence of Iron Deficiency Anemia in Newborns,” e-Journal of Udayana Medical School, vol. 2, no. 9, pp. 1615–1631, 2013.
  19. A. Sundari, “Influence of timing of umbilical cord clamping on hemoglobin and hematocrit levels in full-term deliveries,” 2016.
  20. S. Wahtini, “Factors Influencing the Incidence of Anemia in Infants,” Journal of Health Studies, vol. 3, no. 1, pp. 21–27, 2019, doi: 10.31101/jhes.764.
  21. F. H. Darmawan, “Impact of Delay Cord Clamping on Incidence of Cimahi,” vol. 12, no. 1, 2017.
  22. Y. Qian et al., “Timing of umbilical cord clamping and neonatal jaundice in singleton term pregnancy,” Early Human Development, vol. 142, no. 109, p. 104948.
  23. M. Sj et al., “Pengaruh waktu penjepitan tali pusat bayi cukup bulan pada hasil ibu dan bayi ( Ulasan ),” 2015, doi: 10.1002/14651858.CD004074.pub3.www.cochranelibrary.com.

Downloads

Download data is not yet available.