沙比妇产大学医院足月新生儿早期与延迟脐带夹紧

Q4 Medicine Progresos en Obstetricia y Ginecologia Pub Date : 2015-11-01 DOI:10.1016/j.pog.2015.05.001

Abd El-Moneim A. Fawzy , Azza A. Moustafa , Yasser S. El-Kassar , Manal S. Swelem , Ahmed S. El-Agwany , Dina A. Diab

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引用次数: 2

摘要

背景脐带夹紧的最佳时机;分娩第三阶段提前还是延迟，是一个有争议的话题。没有形成的实践指南。目的比较沙比妇产医院足月儿早夹与晚夹的潜在利弊。方法对沙比妇产大学附属医院自然分娩的100例初产妇足月单胎妊娠进行随机分析。将新生儿分为两组，每组50人，第一组立即夹住脐带“早期夹住脐带”(ECC)，第二组在脉搏停止后夹住脐带“延迟夹住脐带”(DCC)，比较分析新生儿分娩72 h后Apgar评分、血红蛋白水平、随机血糖、血氧饱和度和胆红素。结果两组患者Apgar评分、血红蛋白、随机血糖、胆红素比较，差异均无统计学意义;血氧饱和度比较，差异均有统计学意义。结论延迟脐带夹紧可获得较好的新生儿预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Early versus delayed cord clamping of term births in Shatby Maternity University Hospital

Background

The optimal timing for cord clamping; early versus delayed in the third stage of labour, is a controversial subject. There are no formed practice guidelines.

Objective

To compare the potential benefits and harms of early versus late clamping in term infants in Shatby Maternity Hospital.

Methods

A randomized study was conducted on 100 primigravide full term single pregnancy admitted and delivered spontaneously at Shatby Maternity University Hospital. They were divided into two groups (each 50) where in the first group the umbilical cord was clamped immediately “early cord clamping” (ECC) and where the 2nd group the umbilical cord was clamped after pulsation had been ceased” delayed cord clamping” (DCC) and then Apgar score, Hemoglobin level, random blood sugar, oxygen saturation and bilirubin after 72 h of labour of newborn were compared and analyzed.

Results

There was no statistical significant difference between both groups as regards Apgar score, haemoglobin, Random blood sugar and bilirubin while, there was a statistical significant difference as regard O₂ saturation.

Conclusion

Delayed cord clamping is likely to result in better neonatal outcome.

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来源期刊

Progresos en Obstetricia y Ginecologia Medicine-Obstetrics and Gynecology

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Es la Revista Oficial de la Sociedad Española de Ginecología y Obstetricia, y está presente en los más prestigiosos índices de referencia en medicina. Sus contenidos, clasificados en función de 4 grandes áreas (reproducción y endocrinología, perinatología, oncología y ginecología general) resultan de máxima utilidad para el especialista.