Archives of Gynecology and Obstetrics

, Volume 283, Issue 5, pp 1011–1014 | Cite as

Umbilical cord blood acid–base and gas analysis after early versus delayed cord clamping in neonates at term

  • Catalina De Paco
  • Jesús Florido
  • Mari Carmen Garrido
  • Sonia Prados
  • Luis Navarrete
Materno-fetal Medicine

Abstract

Objective

To compare umbilical cord acid–base status and blood gas analysis between umbilical cords clamped within 10 s and at 2 min of delivery.

Methods

A total of 158 healthy full-term mothers were randomly assigned to an early clamping (<10 s post-delivery, n = 79) or delayed clamping (2 min post-delivery, n = 79) group. After application of inclusion criteria, umbilical vein blood acid–base status and gases were analyzed in 65 early clamped and 51 delayed clamped cords. Fewer cases could be examined in the umbilical artery: 55 cords in the early clamping group and 44 in the delayed one.

Results

Acid–base and gas analysis results did not significantly differ between the groups in the umbilical vein or umbilical artery, with the exception of a higher (p < 0.001) mean umbilical artery pO2 value in the delayed versus early clamping group. No significant differences in umbilical vein or artery pCO2 or HCO3 values were observed between the early and delayed clamp groups.

Conclusions

A delay of 2 min before umbilical cord clamping does not significantly change acid–base and gas analysis results, with the exception of a higher mean umbilical artery pO2 value in the delayed clamping group.

Keywords

Delayed cord clamping Early cord clamping Acid–base status Neonate 

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Catalina De Paco
    • 1
  • Jesús Florido
    • 2
  • Mari Carmen Garrido
    • 2
  • Sonia Prados
    • 2
  • Luis Navarrete
    • 2
  1. 1.Servicio de Obstetricia y GinecologíaHospital Universitario “Virgen de la Arrixaca”MurciaSpain
  2. 2.Department of Obstetrics and Gynecology, School of MedicineUniversity of GranadaGranadaSpain

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