Maternal outcomes following the initiation of an institutional delayed cord clamping protocol: an observational case-control study
| Autor: | Kelly Kuo, Melissa I. March, Priyanka Gokhale, Chayatat Ruangkit, Monika Bhola, David Hackney |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Gestational Age Tertiary care Time-to-Treatment Umbilical Cord 03 medical and health sciences Young Adult 0302 clinical medicine Blood loss Pregnancy 030225 pediatrics Secondary analysis medicine Humans Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Postpartum Hemorrhage Case-control study Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Retrospective cohort study Multifetal gestation Case-Control Studies Pediatrics Perinatology and Child Health Cord clamping Observational study Female business Infant Premature |
| Zdroj: | The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 31(2) |
| ISSN: | 1476-4954 |
| Popis: | The objective of this study is to evaluate maternal outcomes before and after implementation of an institutional delayed cord clamping (DCC) protocol.We performed a secondary analysis of a retrospective cohort study of deliveries occurring at34 weeks at a tertiary care center in 2013-2014. About 139 women who underwent early cord clamping were compared with 130 women delivered after DCC protocol implementation. Maternal estimated blood loss (EBL) was the primary outcome of interest. Operative times, post-Cesarean decrease in hemoglobin (Hgb), and rates of post-partum hemorrhage and transfusion were also examined in bivariate and multivariable analyses.About 75% of post-guideline deliveries had actual DCC. In regression analyses, only Cesarean delivery and multifetal gestation increased EBL. No trends were identified in EBL over time. In post-hoc analysis, the study had over 80% power to detect a difference in post-partum hemorrhage rates of 20%.An institutional DCC protocol for deliveries34 weeks was not associated with an identifiable increase in adverse maternal outcomes. |
| Databáze: | OpenAIRE |
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