Impact of Umbilical Cord Clamping Time on Infant Anemia

Study Overview
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Brief Summary
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This research was conducted to carry out the effect of umbilical cord clamping time on baby anemia.

Detailed Description
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This study is an experimental, randomized controlled study. The sample of the study consisted of 65 pregnant women and newborns (intervention=32, control=33) who applied for delivery at Ege University Medical Hospital Gynecology and Obstetrics Clinic at the time of the study. In this study, Descriptive Data Form of Impact of Umbilical Cord Clamping Time on Infant Anemia was used as a data collection tool. In the intervention group waited 60 seconds for umbilical cord clamping in the second stage of labor, in the control group the umbilical cord was clamped in the first 15 seconds. For the data of the first stage of the study, the neonatal hematocrit and bilirubin measurements and the need for phototherapy due to hyperbilirubinemia were evaluated 48 hours after birth. In the second stage of the study, data on anaemia screening performed in family medicine at the end of the fourth month of birth were examined. Statistical analysis of the data from the study was performed using IBM SPSS Statistics 25.0 package program. Parametric tests were used for statistical analysis of the data with a normal distribution. The level of statistical significance was determined as p<0.05.

Official Title
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Impact of Umbilical Cord Clamping Time on Infant Anemia

Conditions
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Third Stage of Labor, Healthy, Umbilical Cord Clamping Time, Infant Conditions

Intervention / Treatment
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* Procedure: Delayed Clamping


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Apply for normal birth Singleton pregnancy and live fetus Cephalic presentation Estimated birth weight between 2500-4000 grams Birth rates <5 Women who received iron support during pregnancy Haemoglobin level ≥ 11 gr/dL No systemic disease or pregnancy complication that may pose a risk for postpartum bleeding. Neonates who don't need for resuscitation after birth Babies who did not receive iron supplements up to the 4th month after birth were included. Exclusion Criteria: Pregnant women who refuse to participate in the research Neonates who need for resuscitation after birth Babies who receive iron supplements up to the 4th month after birth were excluded.

Ages Eligible for Study
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Minimum Age: 19 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Delayed Clamping<br>The intervention group was waited 60 seconds for umbilical cord clamping in the second stage of labor. | Procedure: Delayed Clamping<br>* Umbilical cord clamping was delayed 60 seconds at the end of second stage of labor.<br>|
| No Intervention: Early Clamping<br>No interventions have been assigned. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Neonatal Haematocrit Value at 48th Hours of Life | Haematocrit measurement in capillary blood taken from newborn after birth | 48th hours after birth | 
| Neonatal Bilirubin Value at 48th Hours of Life | Bilirubin measurement in capillary blood taken from newborn after birth | 48th hours after birth | 
| Phototherapy Requirement Rates due to Hyperbilirubinemia | Neonatal phototherapy requirement due to hyperbilirubinemia in the postpartum period | 3 or 14 days of age | 
| Haemoglobin Values of 4 Month Infants | Haemoglobin measurement at baby's 4th month of age | Infants' 4th month of age | 
| Haematocrit Values of 4 Month Infants | Haematocrit measurement at baby's 4th month of age | Infants' 4th month of age | 
| Diagnosis of Anemia Rates of 4 Month Infants | Screening of the family medicine center, condition of the baby diagnosed with anemia at 4th month of age | Infants' 4th month of age | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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umbilical cord, clamping, infant, anemia, midwifery