Effects of delayed cord clamping on the clinical outcomes of infants of diabetic mothers
DOI:
https://doi.org/10.18203/2349-3291.ijcp20252207Keywords:
Delayed cord clamping, Infants of diabetic mothers, Neonatal outcomes, Retrospective chart reviewAbstract
Background: Objectives was to evaluate the effect of delayed cord clamping (DCC) on the clinical outcomes in infants of diabetic mothers (IDM).
Methods: Retrospective chart review of term singleton IDM at a single community hospital in New York from June 1, 2022, to April 30, 2023. Data was extracted from maternal and neonatal electronic health records (EHR). Infants who had DCC were compared to those who did not have DCC. Data were analyzed using statistical package for social sciences (SPSS), percentages, student t test, chi square, and Fisher’s exact test, p<0.05 was considered significant.
Results: Out of a total of 584 IDM, 397 neonates met the inclusion criteria. The DCC group included 211 (53%) and the no-DCC group 186 (46%) neonates. Maternal and infant baseline characteristics were similar. There were no significant differences between the groups regarding neonatal intensive care unit (NICU) admission hypoglycemia, respiratory distress, mean hematocrit levels, hyperbilirubinemia, and length of stay (LOS).
Conclusions: DCC did not alter the neonatal outcomes in IDM.
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References
Liyanage SK, Ninan K, McDonald SD. Guidelines on Deferred Cord Clamping and Cord Milking: A Systematic Review. Pediatrics. 2020;146(5):e20201429. DOI: https://doi.org/10.1542/peds.2020-1429
American College of Obstetricians and Gynecologists' Committee on Obstetric Practice. Delayed Umbilical Cord Clamping After Birth: ACOG Committee Opinion, Number 814. Obstet Gynecol. 2020;136(6):e100-6. DOI: https://doi.org/10.1097/AOG.0000000000004167
Bruckner M, Katheria AC, Schmolzer GM. Delayed cord clamping in healthy term infants: More harm or good? Semin Fetal Neonatal Med. 2021;26(2):101221. DOI: https://doi.org/10.1016/j.siny.2021.101221
Georgieff MK. The importance of iron deficiency in pregnancy on fetal, neonatal, and infant neurodevelopmental outcomes. Int J Gynecol Obstet. 2023;162(2):83-8. DOI: https://doi.org/10.1002/ijgo.14951
Nakshine VS, Jogdand SD. A Comprehensive Review of Gestational Diabetes Mellitus: Impacts on Maternal Health, Fetal Development, Childhood Outcomes, and Long-Term Treatment Strategies. Cureus. 2023;15(10):e47500. DOI: https://doi.org/10.7759/cureus.47500
Korkut S, Oğuz Y, Bozkaya D, Türkmen GG, Kara O, Uygur D, et al. Evaluation of the Effects of Delayed Cord Clamping in Infants of Diabetic Mothers. Am J Perinatol. 2021;38(3):242-7. DOI: https://doi.org/10.1055/s-0039-1695799
Abdelmaksoud SR, Abdelraziq HE, Khashaba RA, Diab AM. Delayed Cord Clamping in Infants of Diabetic Mothers: Laboratory and Clinical Outcomes. J Child Sci. 2021;11(1):e2021. DOI: https://doi.org/10.1055/s-0041-1726460
Nakagawa M, Ishida Y, Nagaoki Y, Ohta H, Shimabukuro R, Hirata M, et al. Correlation between umbilical cord hemoglobin and rate of jaundice requiring phototherapy in healthy newborns. Pediatr Int. 2014;56(1):23-8.
McDonald SJ, Middleton P, Dowswell T, Morris PS. Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. Cochrane Database Syst Rev. 2013;2013(7):CD004074. DOI: https://doi.org/10.1002/14651858.CD004074.pub3
Millar A, Muralidhar D, Bruce E, Udagama G, Tomkins L, Cogliano M, et al. 323 Neonatal jaundice and delayed cord clamping. Arch Dis Child. 2023;108:A230. DOI: https://doi.org/10.1136/archdischild-2023-rcpch.366