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The umbilical cord of every newborn is clamped and cut at birth, yet the optimal timing for this intervention remains controversial. For at least over 200yrs, multiple controversies have arisen around the timing of umbilical cord clamping. Delayed cord clamping or placental transfusion could be a cost effective intervention to improve the iron status of infants by enhancing their red cell mass. Search in literature reveals that several controlled trials evaluating the short term and long term hematological outcomes of delayed cord clamping have been performed in the past but very few studies have investigated the risk of hyperbilirubinemia especially from this part of the world. Hence this crosssectional study was conceptualized. Material and Methods: It was a cross-sectional study conducted among 212 term infants born at Rohilkhand Medical College and Hospital, Bareilly, over a period of 1 year, who fulfilled the inclusion criteria were included in our study. Results: In the present study, hemoglobin, bilirubin, and hematocrit levels at birth and at 24 hours of birth in Immediate cord clamping and Delayed cord clamping was taken. Mean levels of hemoglobin, bilirubin and hematocrit was found higher in Delayed Cord Clamping group as compared to Immediate Cord Clamping group. Conclusion: The study was conclusive of the fact that in term infants delayed cord clamping increases hemoglobin, hematocrit and bilirubin levels at birth and at 24 hrs of birth as compared to immediate cord clamping. Moreover, there was no significant associated adverse effects.

international journal of contemporary medical research

To Study the Effect of Timing of Umbilical Cord Clamping on Neonatal Outcomes with Special Emphasis on Neonatal Hyperbilirubinemia and Hematocrit Levels in the Early Neonatal Period