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Delayed cord clamping in term large-for-gestational age infants: A prospective randomised study

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dc.contributor.authorYOLDEMİR, AHMET TEVFİK
dc.contributor.authorsVural, Irmak; Ozdemir, Hulya; Teker, Gulsen; Yoldemir, Tevfik; Bilgen, Hulya; Ozek, Eren
dc.date.accessioned2022-03-12T22:29:19Z
dc.date.available2022-03-12T22:29:19Z
dc.date.issued2019
dc.description.abstractAim To compare the post-natal effects of delayed cord clamping (DCC) and early cord clamping (ECC) in term large-for-gestational age (LGA) infants. Methods This prospective randomised study included 51 term LGA infants. The umbilical cords of these infants were clamped at 15 s in group 1 (ECC group (n = 26)) and at 60 s in group 2 (DCC group (n = 25)). Data for Apgar scores, cord blood, pH and lactate values, second haematocrit, 24th bilirubin levels, duration of hospital stay and admission to the neonatal intensive care unit (NICU) were recorded. Results The demographic characteristics of the infants in the study group were not significantly different. No statistically significant difference was observed in the post-natal haematocrit and bilirubin levels between the groups. Six infants (group 1, n = 3; group 2, n = 3) were diagnosed with polycythaemia (P = 0.79); however, these infants remained asymptomatic, and no treatment was required. One infant in each group developed hyperbilirubinemia, which required phototherapy (P = 1.00). The infant with hyperbilirubinemia in the DCC group presented with asymptomatic polycythaemia. Three neonates in the DCC group required admission to the NICU for transient tachypnoea. Conclusions No significant increase in the rate of post-natal complications of DCC in term LGA infants was observed in the study. However, before recommending DCC on a routine basis, studies with a larger sample size and long-term follow-up are required to elucidate the risks and benefits of DCC in this group of infants.
dc.identifier.doi10.1111/jpc.14242
dc.identifier.eissn1440-1754
dc.identifier.issn1034-4810
dc.identifier.pubmed30288843
dc.identifier.urihttps://hdl.handle.net/11424/235368
dc.identifier.wosWOS:000465437800011
dc.language.isoeng
dc.publisherWILEY
dc.relation.ispartofJOURNAL OF PAEDIATRICS AND CHILD HEALTH
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectdelayed cord clamping
dc.subjectlarge-for-gestational age infants
dc.subjectnewborn
dc.subjectUMBILICAL-CORD
dc.subjectIRON-DEFICIENCY
dc.subjectMANAGEMENT
dc.titleDelayed cord clamping in term large-for-gestational age infants: A prospective randomised study
dc.typearticle
dspace.entity.typePublication
local.avesis.id63aed93b-f3a0-4b61-8769-3503d3f2d447
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages6
local.journal.quartileQ3
oaire.citation.endPage560
oaire.citation.issue5
oaire.citation.startPage555
oaire.citation.titleJOURNAL OF PAEDIATRICS AND CHILD HEALTH
oaire.citation.volume55
relation.isAuthorOfPublicationa83f8663-e08c-4cde-a28b-fbd444a689e0
relation.isAuthorOfPublication.latestForDiscoverya83f8663-e08c-4cde-a28b-fbd444a689e0

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