COMPARISON OF DELAYED CORD CLAMPING AND CORD MILKING EFFECTS ON NEONATAL APGAR SCORE AND HAEMATOCRIT

Objective: To assess the feasibility of umbilical cord milking as an alternative to delayed cord clamping during caserean section by comparing neonatal outcomes. Study Design: Quasi experimental study. Place and Duration of Study: Department of Anesthesiology, Combined Military Hospital, Okara...

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Autores principales:	Ghulam Sabir, Ayesha Raja, Saira Mahboob, Saima Shoukat, Ali Kashif, Shazia Iffat
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	apgar score caesarean section delayed cord clamping umbilical cord milking Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/9269140dc9284e54a3a8cb84125a6688
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spelling	oai:doaj.org-article:9269140dc9284e54a3a8cb84125a66882021-11-24T02:50:38ZCOMPARISON OF DELAYED CORD CLAMPING AND CORD MILKING EFFECTS ON NEONATAL APGAR SCORE AND HAEMATOCRIT0030-96482411-8842https://doaj.org/article/9269140dc9284e54a3a8cb84125a66882021-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3508/3627https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To assess the feasibility of umbilical cord milking as an alternative to delayed cord clamping during caserean section by comparing neonatal outcomes. Study Design: Quasi experimental study. Place and Duration of Study: Department of Anesthesiology, Combined Military Hospital, Okara, from Mar to Oct 2018. Methodology: A total of 384 cases (n=192 in each group) were included in our study. In group A, the half-length of umbilical cord was milked thrice by the operating surgeon before clamping and cutting it. In group B the umbilical cord was cut 90 second after delivery of the baby. The outcomes were: APGAR score at one and five minutes after delivery, haemglobin and haematocrit 4 hours after delivery of baby. Requirement of oxygen and ventilatory support during the 24 hours after birth were also noted. Results: Our two study groups didn’t vary in their demographic profile. The difference between the APGAR score at one and five minutes was not statistically significant, (p>0.05). The diffrence in haemoglobin and haematocrit levels of the neonates 4 hours after delivery were insignificant (p-value 0.27 and 0.14 respectively). Conclusion: Milking of the umbilical cord can be used as an alternative to the recommended technique of delayed umbilical cord clamping, especially when immediate resuscitation of the newborn is needed.Ghulam SabirAyesha RajaSaira MahboobSaima ShoukatAli KashifShazia IffatArmy Medical College Rawalpindiarticleapgar scorecaesarean sectiondelayed cord clampingumbilical cord milkingMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 5, Pp 1811-1814 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	apgar score caesarean section delayed cord clamping umbilical cord milking Medicine R Medicine (General) R5-920
spellingShingle	apgar score caesarean section delayed cord clamping umbilical cord milking Medicine R Medicine (General) R5-920 Ghulam Sabir Ayesha Raja Saira Mahboob Saima Shoukat Ali Kashif Shazia Iffat COMPARISON OF DELAYED CORD CLAMPING AND CORD MILKING EFFECTS ON NEONATAL APGAR SCORE AND HAEMATOCRIT
description	Objective: To assess the feasibility of umbilical cord milking as an alternative to delayed cord clamping during caserean section by comparing neonatal outcomes. Study Design: Quasi experimental study. Place and Duration of Study: Department of Anesthesiology, Combined Military Hospital, Okara, from Mar to Oct 2018. Methodology: A total of 384 cases (n=192 in each group) were included in our study. In group A, the half-length of umbilical cord was milked thrice by the operating surgeon before clamping and cutting it. In group B the umbilical cord was cut 90 second after delivery of the baby. The outcomes were: APGAR score at one and five minutes after delivery, haemglobin and haematocrit 4 hours after delivery of baby. Requirement of oxygen and ventilatory support during the 24 hours after birth were also noted. Results: Our two study groups didn’t vary in their demographic profile. The difference between the APGAR score at one and five minutes was not statistically significant, (p>0.05). The diffrence in haemoglobin and haematocrit levels of the neonates 4 hours after delivery were insignificant (p-value 0.27 and 0.14 respectively). Conclusion: Milking of the umbilical cord can be used as an alternative to the recommended technique of delayed umbilical cord clamping, especially when immediate resuscitation of the newborn is needed.
format	article
author	Ghulam Sabir Ayesha Raja Saira Mahboob Saima Shoukat Ali Kashif Shazia Iffat
author_facet	Ghulam Sabir Ayesha Raja Saira Mahboob Saima Shoukat Ali Kashif Shazia Iffat
author_sort	Ghulam Sabir
title	COMPARISON OF DELAYED CORD CLAMPING AND CORD MILKING EFFECTS ON NEONATAL APGAR SCORE AND HAEMATOCRIT
title_short	COMPARISON OF DELAYED CORD CLAMPING AND CORD MILKING EFFECTS ON NEONATAL APGAR SCORE AND HAEMATOCRIT
title_full	COMPARISON OF DELAYED CORD CLAMPING AND CORD MILKING EFFECTS ON NEONATAL APGAR SCORE AND HAEMATOCRIT
title_fullStr	COMPARISON OF DELAYED CORD CLAMPING AND CORD MILKING EFFECTS ON NEONATAL APGAR SCORE AND HAEMATOCRIT
title_full_unstemmed	COMPARISON OF DELAYED CORD CLAMPING AND CORD MILKING EFFECTS ON NEONATAL APGAR SCORE AND HAEMATOCRIT
title_sort	comparison of delayed cord clamping and cord milking effects on neonatal apgar score and haematocrit
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doaj.org/article/9269140dc9284e54a3a8cb84125a6688
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COMPARISON OF DELAYED CORD CLAMPING AND CORD MILKING EFFECTS ON NEONATAL APGAR SCORE AND HAEMATOCRIT

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