Abstract
Delayed cord clamping is the standard of care in infants not requiring resuscitation; however effects of cord clamping strategies have not been evaluated systematically in small for gestational age (SGA) infants. The primary objective was to compare effects of delayed cord clamping (DCC) and early cord clamping (ECC) on serum ferritin at 3 months in SGA infants born at ≥35 weeks. The secondary objectives were to compare hematological parameters, clinical outcomes in neonatal period and growth at 3 months of age. All eligible infants with fetal growth restriction were randomized to two groups, DCC at 60 s or ECC group in which the cord was clamped immediately after birth. Total of 142 infants underwent randomization and subsequently 113 infants underwent definite inclusion. At 3 months, the median (IQR) serum ferritin levels were higher in DCC group, compared to ECC; 86 ng/ml (43.35-134.75) vs 50.5 ng/ml (29.5-83.5), p = 0.01. Fewer infants had iron deficiency in DCC group compared to ECC group; 9 (23.6%) vs 21 (47.7%), p = 0.03 [NNT being 4; 95% CI (2-25)].The proportion of infants with polycythemia was significantly higher in DCC group; 23 (41.81) % vs 12 (20.6%), p = 0.01. There was no difference in proportion of infants with...Continue Reading
References
Nov 1, 1978·Acta paediatrica Scandinavica·U M Saarinen, M A Siimes
Oct 1, 1992·Acta Paediatrica·O LinderkampE P Zilow
Oct 1, 1991·Radiology·F P HadlockJ Martinez-Poyer
Feb 1, 1997·The American Journal of Clinical Nutrition·R GrajedaK G Dewey
Apr 1, 2000·Pediatrics·B LozoffA W Wolf
Jul 3, 2004·Pediatrics·UNKNOWN American Academy of Pediatrics Subcommittee on Hyperbilirubinemia
Jul 28, 2004·Pediatric Clinics of North America·Athina Pappas, Virginia Delaney-Black
Jun 20, 2006·Lancet·Camila M ChaparroKathryn G Dewey
Nov 28, 2009·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Dean LeducUNKNOWN CLINICAL PRACTICE OBSTETRICS COMMITTEE
Oct 22, 2010·Circulation·Jeffrey M PerlmanUNKNOWN Neonatal Resuscitation Chapter Collaborators
Nov 6, 2010·Maternal & Child Nutrition·Bernadette P MarriottJohn C Wallingford
Dec 15, 2010·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Kanya MukhopadhyayAnil Narang
Nov 18, 2011·BMJ : British Medical Journal·Ola AnderssonMagnus Domellöf
Apr 23, 2013·BMC Pediatrics·Tanis R Fenton, Jae H Kim
Jun 6, 2013·Neonatology·David G SweetUNKNOWN European Association of Perinatal Medicine
Nov 20, 2013·Journal of Clinical Neonatology·Shailendra PatidarRashmi Dwivedi
Aug 12, 2014·The Lancet Global Health·Anne C C LeeUNKNOWN CHERG SGA-Preterm Birth Working Group
Citations
Jan 19, 2019·Archives of Gynecology and Obstetrics·Jiachen TangYu Chen
Feb 7, 2020·Obstetrics and Gynecology·Matthew J R NudelmanDongli Song
Jun 17, 2019·Archives of Gynecology and Obstetrics·Yiyu QianYing Hua
Mar 20, 2019·BioMed Research International·Stefano BasilePierluigi Benedetti Panici
Oct 22, 2020·Circulation·Khalid AzizJeanette Zaichkin
Jan 23, 2021·European Journal of Pediatrics·Kanhu Charan DigalSriparna Basu
Feb 20, 2021·BMJ Global Health·Mirjam Y KleinhoutJoyce L Browne
Aug 7, 2021·Clinics in Perinatology·Ola Andersson, Judith S Mercer
Aug 14, 2021·American Journal of Obstetrics and Gynecology·Beth Ellen BrownUNKNOWN Canadian Preterm Birth Network Investigators
Dec 3, 2021·Obstetrics and Gynecology·Ryan M McAdams, Satyan Lakshminrusimha
Feb 27, 2021·Pediatrics·Judith GomersallUNKNOWN INTERNATIONAL LIAISON COMMITTEE ON RESUSCITATION NEONATAL LIFE SUPPORT TASK FORCE