MILKING VERSUS DELAYED CORD CLAMPING IN FULL TERM NEONATES DELIVERED BY ELECTIVE CAESAREAN SECTION. A RANDOMIZED CONTROLLED TRIAL

Abstract

SUMMARY nthisrandomizedcontrolledtrialweenrolledatotalof300pregnantwomenwhoaremedicallyfreeandcompleted37weeksofgestationalage(mettheinclusioncriteria)whoattendedthecasualtyofainshamsuniversitymaternityhospitalforanelectivecaesareansectionandcompletedthestudy. Thepatientsweredividedintotwogroups:- GroupI:milkinggroupwhichcontains150patients,definedasapplicationofaclamptotheumbilicalcordaftermilkingofthecord5timestowardtheneonate. GroupII:Late(delayed)cordclampingwhichcontains150patients,definedasapplicationofaclamptotheumbilicalcordafter120secondsofbirthoftheinfant. ThenalltheneonateswillbesubjectedtoApgarscoreevaluationafter5minutes,Hblevel6weekslater, needforNICU, neonatal death and jaundice requiring phototherapy andallmotherssubjectedtoneedforbloodtransfusion,extre-uterotonics, manualremovaloftheplacenta and occurrence of post-partum hemorrhage. OncomparingthetwogroupsregardingHblevelafter6weeksGroupIthemeanHblevelwas 11.95±0.88mg/dl,andGroupIIwas 11.86±0.71mg/dlwithapvalue0.338whichisnotsignificant. OncomparingthetwogroupsregardingjaundicerequiringphototherapyGroupI12neonatewereadmittedtoNICUforjaundicewhichrepresents(8%)andGroupII16neonatewereadmittedtoNICUforjaundicewhichrepresents(10.7%)withapvalue0.427whichisnotsignificant. Regarding other neonatal outcome Apgarscoreafter5 minutes, needforNICU admission, neonatal death and respiratory distress there were no significant difference between both groups