Journal of Clinical Neonatology

LETTER TO EDITOR
Year
: 2016  |  Volume : 5  |  Issue : 1  |  Page : 70-

Authors' reply


Lalitha Krishnan 
 Department of Pediatrics, Pondicherry Institute of Medical Sciences, Kalapet, Puducherry, India

Correspondence Address:
Lalitha Krishnan
Department of Pediatrics, Pondicherry Institute of Medical Sciences, Kalapet, Puducherry
India




How to cite this article:
Krishnan L. Authors' reply.J Clin Neonatol 2016;5:70-70


How to cite this URL:
Krishnan L. Authors' reply. J Clin Neonatol [serial online] 2016 [cited 2020 Aug 12 ];5:70-70
Available from: http://www.jcnonweb.com/text.asp?2016/5/1/70/173274


Full Text

Sir,

We thank the authors for their insightful queries on our paper on delayed cord clamping.[1]

Regarding the first query about timing of cord clamping within 10 seconds in controls, we wanted to make only one change i.e. delayed cord clamping. We timed the existing practice in our institution and it turned out to be around 10 seconds. There was no plan to show an enhanced difference in serum ferritin between the two groups. Regarding increase in respiratory rate there was a statistically significant difference which did not translate to clinical tachypnea. None of the babies needed oxygen or NICU admission for treatment of respiratory distress. We agree anemia estimation could have been done at a later date, there are differing timings depending on the design of the study. Two previous studies cited in the article from India documented haemoglobin level three months after birth. A recent article also compared haemoglobin at six weeks of age.[2]

The regression model has been explained in detail in the methodology. However, if the authors so desire, they are welcome to correspond directly for details.

There is a good review article addressing various issues associated with delayed cord clamping by Raju et al.[3]

References

1Krishnan L, Kommu PP, Thomas BJ, Akila B, Daniel M. Should delayed cord clamping be the standard of care in term low risk deliveries? A randomized controlled trial from a medical college hospital in South India. J Clin Neonatol 2015;4:183-7.
2Kumar B, Upadhyay A, Gothwal S, Jaiwal V, Joshi P, Dubey K. Umbilical cord milking and hematological parameters in moderate to late preterm neonates: A randomized control trial. Indian Pediatr 2015;52:753-7.
3Raju TN. Timing of umbilical cord clamping after birth for optimizing placental transfusion. Curr Opin Pediatr 2013;25:180.