Original Articles
Assessment of umbilical cord milking in late preterm neonates and its effects on haematological and hemodynamical parameters | |
Dr. (Lt Col) Vinod Kumar Dagar, Dr. (Maj) Amritha Lal | |
Background: One of the most prevalent issues in infancy is anemia. It affects over 24.8% of people on the planet, both in developed and developing nations. The present study was conducted to assess umbilical cord milking in late preterm neonates and its effects on haematological and hemodynamical parameters. Materials & Methods: 90 late preterm neonates of both genders were divided into two groups. Group I was UCM group and group II was the immediate cord clamping group (controls). Primary outcomes were measured at 48 hours of age and included hemoglobin (Hb), hematocrit (Hct), and hemodynamic parameters (heart rate, respiration rate, and mean blood pressure). Results: In group I and II, mean heart rate (bpm) was 147.2 and 148.9, RR (bpm) was 46.3 and 47.2, SpO2 (%) was 97.3 and 97.8, Hb (gm/dL) was 19.2 and 16.8, RBC (million/mm3) was 5.9 and 4.3, haematocrit (%) was 56.4 and 48.5, platelet (lac/mm3) was 2.09 and 2.3, total count (c/mm3) was 12389.9 and 11983.2, MCV (fL) was 102.5 and 98.7, MCH (pg) was 34.2 and 34.8, MCHC (ug/dL) was 33.9 and 36.7, total bilirubin (mg/dL) was 9.4 and 9.9 and direct bilirubin (mg/dL) was 0.63 and 0.53 respectively. The difference was significant (P< 0.05). Neonatal complications were respiratory distress of newborn in 2 in group I and 5 in group II, sepsis in 1 in group I, jaundice 2 in group II and dehydration 1 in group I and 2 in group II. The difference was significant (P< 0.05). Conclusion: Higher hematocrit, hemoglobin, and less need for inotropes and blood transfusions all indicate that the UCM delivers a better placental transfusion. The risk of respiratory distress syndrome may be decreased by the UCM. Therefore, UCM might be better for late preterm infants, especially for newborns who require urgent resuscitation. |
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