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Dr. Heba Elsayed Abd Elrazek Elsayed :: Publications:

Title:
Delayed Cord Clamping in Infants of Diabetic Mothers: Laboratory and Clinical Outcomes
Authors: Shaimaa Reda Abdelmaksoud1 Heba Elsayed Abdelraziq2 Rana Atef khashaba3 Aliaa Mohamed Diab1
Year: 2021
Keywords: Not Available
Journal: Not Available
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: International
Paper Link: Not Available
Full paper Heba Elsayed Abd Elrazek Elsayed_2.pdf
Supplementary materials Not Available
Abstract:

The aim of this study was to compare the effects of delayed cord clamping (DCC) and early cord clamping (ECC) on venous hematocrit (htc) and clinical outcomes in infants of diabetic mothers (IDMs). This prospective randomized study included 157 term IDMs. The umbilical cords of these infants were clamped at least 60 seconds in group I (DCC group, n¼79) and as soon as possible after birth in group II (ECC group, n¼78). The two groups were compared regarding neonatal venous htc levels, hypoglycemia rates, jaundice requiring phototherapy, respiratory distress, and admission to the neonatal intensive care unit (NICU). Hematocrit levels were significantly higher in the DCC group, both at 6 and 24 hours postnatally (p¼0.039 and 0.01), respectively. Polycythemia frequency was higher in DCC than the ECC group, but no patient in either group needed partial exchange transfusion (PET). Rates of jaundice were significantly higher in the DCC group (p¼0.028), but there was no significant difference between the two groups regarding jaundice requiring phototherapy (p¼0.681). There were no differences between the groups regarding hypoglycemia rates, need for glucose infusion, or respiratory distress. The incidence of admission to NICU was lower in the DCC group (p¼0.005). Early clamping was a significant predictor for increased risk of NICU admission. DCC increased polycythemia and jaundice rates but did not increase the need for PETor phototherapy. Also, DCC reduced the severity of respiratory distress and the subsequent need for NICU admission

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