|LETTER TO EDITOR
|Year : 2016 | Volume
| Issue : 1 | Page : 69
Dispute on delayed cord clamping
Manas Pratim Roy1, K Usha Rani2, Ratan Gupta1, Meenakshi Salhan1
1 Department of Pediatrics, VMMC and Safdarjung Hospital, New Delhi, India
2 Department of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi, India
|Date of Web Publication||6-Jan-2016|
Manas Pratim Roy
Department of Pediatrics, VMMC and Safdarjung Hospital, New Delhi - 110 029
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Roy MP, Rani K U, Gupta R, Salhan M. Dispute on delayed cord clamping. J Clin Neonatol 2016;5:69
We read with interest the research article on delayed cord clamping (DCC). The authors did a commendable job by raising the controversial timing of cord clamping. However, there are certain queries.
- The World Health Organization recommends cord clamping 1 – 3 minutes after birth (strong recommendation). Federation of Obstetric and Gynaecological Societies of India also recommends delaying clamping by at least 30 – 40 seconds. Therefore, the justification of clamping as early as 10 second after birth in the first group is not clear. Was it done to enhance difference between two groups?
- [Table 3] suggests significant difference between the groups in mean respiratory rate at 1h and 12h, in terms of p value. But result section suggests otherwise.
- Anemia estimation could have been done at a later date. 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.
- What type of regression was used in analysis? How did the authors assess fit of the model?
- For hyperbilirubinemia, although p value is not significant, the rate of phototherapy required is more than twice (18.9%) in DCC group in comparison to ECC group (7.7%). This should be noted with caution.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
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World Health Organization. WHO Recommendations for the Prevention and Treatment of Postpartum Haemorrhage. Italy: World Health Organization; 2012.
Lalonde A. International Federation of Gynecology and Obstetrics Prevention and treatment of postpartum hemorrhage in low-resource settings. Int J Gynaecol Obstet 2012;117:108-18.
Gupta R, Ramji S. Effect of delayed cord clamping on iron stores in infants born to anemic mothers: A randomized controlled trial. Indian Pediatr 2002;39:130-5.
Geethanath RM, Ramji S, Thirupuram S, Rao YN. Effects of timing of cord clamping on the iron stores of infants at 3 months. Indian Pediatr 1997;34:103-6.
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