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العنوان
The Optimum Time for Cord Clamping after Vaginal Delivery in Term Pregnancy:
المؤلف
Nasr, Reem Nasr Abd El Hafez.
هيئة الاعداد
باحث / Reem Nasr Abd El Hafez Nasr
مشرف / Ayman Abo El Nour
مشرف / Sherif Hanafi Hussain
مناقش / Ahmed Mohamed ElKotb
تاريخ النشر
2019.
عدد الصفحات
112 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض النساء والتوليد
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة عين شمس - كلية الطب - قسم امراض النساء
الفهرس
Only 14 pages are availabe for public view

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from 112

Abstract

G
iven the benefits for most newborns and in conjunction with other professional organizations, the American College of Obstetricians and Gynecologists now recommends delaying umbilical cord clamping in newborns born after a full gestation period and premature infants for at least 30-60 seconds after birth.
Late umbilical cord clamping appears to be a useful procedure for premature babies. For newborns born after a full pregnancy, delayed cord clamping helps to increase hemoglobin levels at birth and improves iron stores in the first months of life, which may have a positive effect on growth.
Before 1950, the term early clamping was called umbilical cord clamping within one minute of birth, and the later clamp was known as umbilical cord clamping more than 5 minutes after birth. After several small studies of postpartum blood volume change, it was reported that 80-100 ml of blood passed from the placenta to the newborn baby in the first 3 minutes after birth; 90% of the blood volume was transferred during the first breaths of healthy embryos. Some randomized case studies based on a control group of postnatal and premature infants; physiological studies of blood volume, oxygenation and arterial pressure have had positive effects for immediate cat versus delayed umbilical cord picking. It should be noted that late umbilical cord clamping for premature newborns.
By moving to newborns born after a full gestation period, the late umbilical cord clamp helps to increase hemoglobin levels at birth; it also improves iron stocking in the first months of life, which may have a positive effect on fetal development. These randomized studies encouraged a number of professional organizations to issue recommendations for delayed umbilical cord clamping in both premature and premature babies. For example, WHO recommends that the umbilical cord should not be pulled as early as the first minute after birth in babies born after a full pregnancy and premature infants who do not need positive pressure ventilation or ventilatory ventilation. Recent guidelines from the American Academy of Pediatric Neonatal Resuscitation Program recommend postponing umbilical cord clamping for at least 30-60 seconds for most premature babies. The Royal College of Obstetricians and Gynecologists also recommends delaying cord clamping for healthy infants and preterm infants for at least two minutes after birth.
The current research study data analysis have revealed that the neonatal hemoglobin was statically highest in seconds-60 research group (p value <0.001). No statistical significant difference between the investigated research groups as regards hemoglobin at 6 months.
CONCLUSION
D
elayed cord clamping have high safety profile at maternal and neonatal levels when performed ta 30, 60 seconds. Furthermore delayed cord clamping enhances the hemoglobin levels in a manner that causes privilege in avoidance of neonatal anemia.