FEASIBILITY AND OUTCOMES OF DELAYED CORD CLAMPING IN PRETERM NEWBORNS

N ZIA; . WASIMULLAH; S NAZIR; S TOFAIL

doi:10.54112/bcsrj.v2024i1.962

Authors

N ZIA Department of Neonatal Paediatric, Indus Hospital Karachi, Pakistan
. WASIMULLAH District headquarter hospital Miran Shah, North Waziristan
S NAZIR Department of Neonatology, Gims Gambat, Pakistan
S TOFAIL Cantonment General Hospital Rawalpindi, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.962

Keywords:

Delayed Cord Clamping, Neonatal Intensive Care Unit, Preterm Infants, Survival Rate, Perinatal Care

Abstract

babies, and it offers higher chances of the survival of preterm infants. Objectives: The study aims to find the feasibility and outcomes of delayed cord clamping in preterm infants. Methods: This prospective observational study was conducted at Indus Hospital Karachi from January 2023 to December 2023. Data include 180 pre-term infants in the study. The study consisted of preterm infants born at gestational ages ranging from 28 to 34 weeks, admitted to the NICU within the first 24 hours of life. Infants with no congenital anomalies or significant perinatal complications requiring immediate medical intervention were included in the study. Clinical and demographic data were collected prospectively from medical records and direct observations. Results: Data were collected from 180 preterm infants. The mean gestational age in the DCC group was 31.01±2.00 weeks, and in the ICC group was 31.89± 1.78 weeks. Mean birth weight was 1500±300g and 1500±200g in the DCC and ICC groups, respectively. The mean maternal age was 28.09±4.1 years in DCC and 28.01±4.34 years in the ICC group. In the study, delayed cord clamping (DCC) demonstrated a high feasibility level, with 85% adherence to the DCC protocol among the 90 enrolled infants. Most infants adhered to the recommended duration, with a mean clamping time of 45 seconds, falling within the target range of 30 to 60 seconds. Conclusion: It is concluded that delayed cord clamping (DCC) appears feasible and offers potential benefits in improving short-term outcomes for preterm infants in the neonatal intensive care unit (NICU).

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