PROSPECTIVE COMPARATIVE STUDY OF EFFECT OF UMBILICAL CORD MILKING(UCM) V/S EARLY CORD CLAMPING(ECC) ON NEONATAL HAEMATOLOGICAL AND CLINICAL PARAMETERS IN A TERTIARY CARE HOSPITAL

Abstract

Background: Anemia is a major problem in the period of infancy. In developing countries anemia is causing even bigger menace considering the nutritional status of the mother. Preventing anemia during infancy is very important as anemia can cause many neurological sequelae and the growth of the baby in the early childhood is hampered. So there is definite need in reducing the incidence and the complications and in the early childhood period. By specific maneuvers like umbilical cord milking and delayed cord clamping, extra amount of blood transfusion occurs from the mother to the baby. The present study aims to look into uses of umbilical cord milking on various hematological parameters and clinical parameters. MATERIALS AND METHODS: The study was a prospective comparative study done on 144 babies. By using block randomization number 4 babies were divided into 2 groups. In the intervention group umbilical cord milking was done. At day 1,2,7 of life various hematological parameters and clinical parameters were assessed among the UCM ,ECC. RESULTS: The values of hemoglobin and packed cell volume on day 1,2,7 were higher among the babies in umbilical cord milking group when seen against early cord clamping group with p<0.0001 which was statistically significant. The mean values of heart rate on day 1,2 were higher among the babies in UCM when compared with the babies in early cord clamping group with p<0.05 16 which was statistically significant. The mean values of systolic BP on day 1,2,7 were higher among the babies in UCM when compared with the babies in early cord clamping group with p<0.0001 which was statistically significant. The mean values of diastolic blood pressure on day 2 were higher among the babies in UCM when compared with the babies in early cord clamping group with p=0.009 which was statistically significant. The other parameters like white blood cells, platelets, Respiratory rate, respiratory distress syndrome, cardiac failure, need for blood transfusion, mortality were similar among the UCM and early cord clamping group. CONCLUSION: Umbilical cord milking had improved the hemoglobin, packed cell volume ,systolic pressure among the babies and it had also improved the well being of the baby.