沙特阿拉伯脐带结扎时机对母婴结局的影响
Impact of the Timing of Umbilical Cord Clamping on Maternal and Neonatal Outcomes in Saudi Arabia.
作者信息
Sonbol Bayan, Orabi Abeer, Al Najjar Hend
机构信息
Obstetrics and Gynecology, King Salman bin Abdulaziz Medical City, Madinah, SAU.
College of Nursing, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU.
出版信息
Cureus. 2024 Feb 4;16(2):e53536. doi: 10.7759/cureus.53536. eCollection 2024 Feb.
INTRODUCTION
The optimal time for umbilical cord clamping after delivery has been under debate for several decades. This study aimed to assess the time-dependent effects of umbilical cord clamping on maternal and neonatal outcomes.
METHODS
An observational correlational design was used to recruit 161 pregnant women conveniently. Outcomes were observed and recorded using a structured checklist developed by the authors. Pregnant females aged ≥18 years, with uncomplicated delivery, and who were willing to participate were recruited. Exclusion criteria included stillbirths, newborns with congenital anomalies, newborns too small for their gestational age, intra-uterine growth restriction, nuchal cord, and meconium-stained liquor.
RESULTS
The mean age of the participants was 29.93 ± 6 years. Early clamping (<1 minute) was performed for 93.8% of the participants with a mean of 29.58 ± 18 seconds. Delayed clamping was associated with a decrease in blood loss and the length of hospital stay in addition to an increase in first-minute APGAR score and neonatal temperature (P < 0.05).
CONCLUSIONS
Delayed cord clamping was associated with improved maternal and neonatal outcomes.
引言
分娩后脐带结扎的最佳时间已经争论了几十年。本研究旨在评估脐带结扎时间对母婴结局的影响。
方法
采用观察性相关设计，方便地招募了161名孕妇。使用作者制定的结构化检查表观察并记录结局。招募年龄≥18岁、分娩无并发症且愿意参与的孕妇。排除标准包括死产、先天性异常新生儿、孕周过小的新生儿、宫内生长受限、脐带绕颈和羊水胎粪污染。
结果
参与者的平均年龄为29.93±6岁。93.8%的参与者进行了早期结扎（<1分钟），平均时间为29.58±18秒。延迟结扎除了会增加出生后第一分钟的阿氏评分和新生儿体温外，还会减少失血和缩短住院时间（P<0.05）。
结论
延迟脐带结扎与改善母婴结局相关。
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