A Hospital Policy Change Toward Delayed Cord Clamping is Effective in Improving Hemoglobin Levels and Anemia Status of 8-month-old Peruvian Infants.

Autor: Gyorkos, Theresa W., Maheu-Giroux, Mathieu, Blouin, Brittany, Creed-Kanashiro, Hilary, Casapía, Martín, Aguilar, Eder, Silva, Hermánn, Joseph, Serene A., Penny, Mary E.
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Zdroj: Journal of Tropical Pediatrics; Dec2012, Vol. 58 Issue 6, p435-440, 6p
Abstrakt: Objective: To assess the effectiveness of a hospital policy change toward delayed cord clamping on infant hemoglobin (Hb) levels and anemia status at 4 and 8 months of age.Methods: A cohort of Peruvian mothers and infants, originating from a pre/post study investigating a change in hospital policy from early to delayed cord clamping, was followed until 8 months postpartum. Infant hemoglobin levels and anemia status were measured at 4 and 8 months postpartum.Results: Following the hospital policy change, adjusted mean infant Hb levels improved by 0.89 gdl−1 [95% confidence interval (95% CI) 0.57–1.22] and anemia was significantly reduced (aOR = 0.38; 95% CI 0.19–0.78) at 8 months postpartum.Conclusions: A hospital policy change toward delayed cord clamping is effective in improving Hb levels and the anemia status of 8-month-old infants. Prior to scaling-up this intervention, issues related to training, monitoring, safety, additional long-term benefits and specific local conditions should be investigated. [ABSTRACT FROM PUBLISHER]
Databáze: Complementary Index