@article{ajnr2014212,
author={{Dash, DR. Manju Bala and R, Dr. Murali. and S, Mrs Rajarajeswari.},
title={Effect of Delayed Cord Clamping on Hemoglobin Level among Newborns in Rajiv Gandhi Government Women & Children Hospital, Puducherry},
journal={American Journal of Nursing Research},
volume={2},
number={1},
pages={7--11},
year={2014},
url={http://pubs.sciepub.com/ajnr/2/1/2},
abstract={Introduction-Anemia is one of common disorders not only in adults but also found in infants too. In developing countries, prevalence of Iron Deficiency Anemia (IDA) is highest.Up to 50% of children become anemic by 12 months of age. A first step towards reducing anemia in infancy can be taken during birth is Delayed cord clamping that makes use of readily available blood from the feto-placental compartment, estimated roughly 120 ml/kg of fetal weight. These additional volumes of blood can supply extra iron amounting to 40¨C50 mg/kg of body weight. When this extra iron is added to the approximately 75 mg/kg of body iron that a full-term newborn is born with, the total amount of iron can reach 115¨C125 mg/kg of body weight, which may help prevent iron deficiency during the first year of life. Objectives-To compare the hemoglobin level at birth & 24 hours after birth in both the Group I(cord was clamped within 15 seconds of birth ) and Group II (clamped at 3 minutes)newborns. To correlate the cord clamping time with the Hemoglobin level of the term newborns. Methodology-Experimental design was adopted. 61 newborns (Group I ¨C 30 and Group II- 31), selected through simple random sampling. Standardized. Sahli¡¯s Hemoglobin meter was used to estimate the Hemoglobin from the cord blood at birth and capillary blood obtained by heel stick at 24 hours from the Newborns. Result and findings-The mean hemoglobin levels at birth and at 24 hours were 17.75 gms% ¡À 1.567 and 19.97 gms% ¡À 1.511, 16.97 gms% ¡À 1.134 and 19.59 gms% ¡À 1.395 for Group I and II respectively. The calculated¡®t¡¯ values (5.644 and 7.599 at birth and 24 hours) shows there is highly significant difference between Group I and II Hemoglobin levels.There was a positive correlation (r =0.591 at birth and r =0.4198 at 24 hours) found between cord clamping timing and the hemoglobin level.Conclusion-Delayed clamping group has higher range of hemoglobin levels at birth and 24 hours, therefore delayed clamping can be considered to improve the hemoglobin levels in newborns.},
doi={10.12691/ajnr-2-1-2}
publisher={Science and Education Publishing}
}