{
    "abstract": "Background and objective Delayed cord clamping (DCC) has proven to be an ideal approach to reduce iron deficiency anemia; however, different timings of DCC relative to the birth outcome lead to conflicting results. The present study was conducted to determine\u00a0the effects of different timings of DCC on the maternal and neonatal outcomes in normal vaginal deliveries at term. Methods This was an interventional study on neonates born at term without complications to mothers with uneventful pregnancies in the labor unit of a district hospital in Odisha, India. A total of 147 women were randomized to three intervention groups: DCC at one minute, DCC at two minutes, and DCC at three minutes. Hemoglobin and bilirubin levels, maternal blood loss, the timing of the third stage of labor, oxytocin use, and birth weight of the neonates were measured as the outcomes of different timings of DCC. Results At 24-48 hours of age, hemoglobin and bilirubin levels of the neonates were significantly higher with DCC at three minutes compared to DCC at one and two minutes. However, there were no significant differences among the three groups in terms of the need for phototherapy. The duration of the third stage of labor was significantly longer with DCC at three minutes. Maternal blood loss, oxytocin use, and birth weight of the neonates were not significantly associated with the timing of DCC. Conclusion Based on our findings, waiting to clamp the umbilical cord until three minutes\u00a0can effectively reduce the incidence of iron deficiency anemia in newborns.",
    "authors": [
        {
            "affiliation": "College of Nursing, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.",
            "firstname": "Divya",
            "initials": "D",
            "lastname": "Katariya"
        },
        {
            "affiliation": "Obstetrics and Gynaecology Nursing, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.",
            "firstname": "Dharitri",
            "initials": "D",
            "lastname": "Swain"
        },
        {
            "affiliation": "Obstetrics and Gynaecology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.",
            "firstname": "Sweta",
            "initials": "S",
            "lastname": "Singh"
        },
        {
            "affiliation": "Obstetrics and Gynaecology, District Hospital Khurda, Khurda, IND.",
            "firstname": "Arti",
            "initials": "A",
            "lastname": "Satapathy"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2021, Katariya et al.",
    "doi": "10.7759/cureus.17169",
    "journal": "Cureus",
    "keywords": [
        "bilirubin level",
        "birth outcomes",
        "delayed cord clamping",
        "hemoglobin level",
        "maternal blood loss"
    ],
    "methods": null,
    "publication_date": "2021-09-18",
    "pubmed_id": "34532192\n31104639\n26269880\n20492659\n28578361\n26970328\n23168790\n27929530\n28285280\n25404606\n30931665\n30272030\n16567393\n28562299\n31161042\n31240753\n29255190\n19358030\n29728153\n18591323\n22566383",
    "results": null,
    "title": "The Effect of Different Timings of Delayed Cord Clamping of Term Infants on Maternal and Newborn Outcomes in Normal Vaginal Deliveries.",
    "xml": "<Element 'PubmedArticle' at 0x78850210e020>"
}