A study on delayed cord clamping and early skin-to-skin contact and its effect on maternal health

Sangeeta Kansal, Madhu Jain, Suchi Jain Sinha, Lakshmi Dixit, Sushil Kumar Gyadin Yadav
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Abstract

Before the mid-1950s, Early Cord Clamping (ECC) meant clamping the umbilical cord within one minute of birth. Delayed Cord Clamping (DCC), on the other hand, involved clamping the cord more than five minutes after birth. After birth, because of noticing changes in blood volume and the absence of clear guidance on the best timing, early cord clamping became a usual practice, typically happening within 15-20 seconds of birth. The objective of the study is to identify the effects of DCC and early skin-to-skin contact on mother’s physiological parameters, breastfeeding behaviour, and post-partum haemorrhage compared to Early Cord Clamping. A group of 300 mothers and their newborns were studied after the mothers agreed to participate. The mothers were split into two groups, each with 150 participants. Group A experienced DCC and ESS contact, while Group B had Early Cord Clamping. The study's results showed similar findings in both groups regarding the average Hb level and maternal blood loss. Postpartum haemorrhage was less among DCC compared to early group with significant difference was observed. This study discovered that DCC with ESSC has a positive impact on preventing postpartum haemorrhage. This is achieved through improved breastfeeding and bonding. The study found that the side effects of DCC and ESSC are not significant. So, DCC and ESSC should be practiced in term uncomplicated deliveries.
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关于延迟断脐和早期皮肤接触及其对产妇健康影响的研究
20 世纪 50 年代中期以前,早期脐带钳夹术(ECC)是指在婴儿出生后一分钟内钳夹脐带。而延迟脐带钳夹术(DCC)则是在婴儿出生后五分钟以上钳夹脐带。婴儿出生后,由于没有注意到血容量的变化,也没有关于最佳时间的明确指导,因此提前夹闭脐带成为一种惯例,通常在婴儿出生后 15-20 秒内进行。这项研究的目的是,与早期脐带夹闭相比,确定脐带绕颈和早期皮肤接触对母亲生理参数、母乳喂养行为和产后出血的影响。在征得母亲同意后,对 300 名母亲及其新生儿进行了研究。这些母亲被分成两组,每组 150 人。A 组经历了 DCC 和 ESS 接触,而 B 组则经历了早期脐带钳夹。研究结果显示,两组的平均血红蛋白水平和产妇失血量相似。与早产组相比,早产组产后出血较少,差异显著。这项研究发现,DCC 和 ESSC 对预防产后出血有积极影响。这是通过改善母乳喂养和亲子关系实现的。研究发现,DCC 和 ESSC 的副作用不大。因此,应在无并发症的足月分娩中使用顺产和剖宫产。
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