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Correlation between late cord clamping and phototherapy and other neonatal unfavorable outcomes : a randomized clinical trial
dc.contributor.author | Vettorazzi, Janete | pt_BR |
dc.contributor.author | Rostirolla, Gabriela Françoes | pt_BR |
dc.contributor.author | Zanatta, Maria Alexandrina | pt_BR |
dc.contributor.author | Valério, Edimárlei Gonsales | pt_BR |
dc.contributor.author | Ferreira, Charles Francisco | pt_BR |
dc.contributor.author | Ramos, José Geraldo Lopes | pt_BR |
dc.date.accessioned | 2022-04-13T04:51:36Z | pt_BR |
dc.date.issued | 2022 | pt_BR |
dc.identifier.issn | 2160-8806 | pt_BR |
dc.identifier.uri | http://hdl.handle.net/10183/237152 | pt_BR |
dc.description.abstract | Background: Recently, late umbilical cord clamping is generally recommended, which decreases neonatal anemia; however, it may also increase neonatal jaundice and some other poor outcomes. Objectives: We here attempted to determine whether late clamping actually increases the incidence of phototherapy for jaundice and other poor outcomes of the term “low-risk newborns”. Methods: With the approval of the Brazilian Registry of Clinical Trials (REBEC), a total of 357 low-risk newborns (singleton, uncomplicated pregnancy/delivery, in a Brazilian public institution) were randomized into two groups: group I (n = 114): cord clamping < 1 minute (early clamping) or group II (n = 243): cord clamping between 1 - 3 minutes (late clamping). Statistics were used appropriately (i.e., measures of central tendency, dispersion for continuous variables, Shapiro-Wilk, Mann-Whitney test, or Chi-square test). Results: Phototherapy was performed in 5.3% in both groups. Also, there were no statistical differences in the occurrence of secondary outcomes, such as sepsis, neonatal ICU admission, and transient tachypnea of the newborns: i.e., 0.9%, 15.8%, and 3.5%, respectively for group I versus 1.2%, 15.6%, and 5.8%, respectively for group II. Conclusion: Late umbilical cord clamping does not increase the need for phototherapy in low-risk neonates. This result corroborates the current recommendation of late cord clamping, whenever appropriate. | en |
dc.format.mimetype | application/pdf | pt_BR |
dc.language.iso | eng | pt_BR |
dc.relation.ispartof | Open journal of obstetrics and gynecology. Irvine. Vol. 12, no. 3 (2022), p. 193-200. | pt_BR |
dc.rights | Open Access | en |
dc.subject | Phototherapy | en |
dc.subject | Fototerapia | pt_BR |
dc.subject | Neonatal anemia | en |
dc.subject | Anemia neonatal | pt_BR |
dc.subject | Neonatal jaundice | en |
dc.subject | Icterícia neonatal | pt_BR |
dc.subject | Constrição | pt_BR |
dc.subject | Late cord clamping | en |
dc.subject | Cordão umbilical | pt_BR |
dc.subject | Recém-nascido | pt_BR |
dc.title | Correlation between late cord clamping and phototherapy and other neonatal unfavorable outcomes : a randomized clinical trial | pt_BR |
dc.type | Artigo de periódico | pt_BR |
dc.identifier.nrb | 001139443 | pt_BR |
dc.type.origin | Estrangeiro | pt_BR |
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