Factors associated with umbilical cord clamping in term newborns

Abstract

OBJECTIVE: To identify factors associated with umbilical cord clamping in term newborns and to compare the recording of clamping time in the medical record with what was observed. METHOD: Cross-sectional study, with 300 mothers-infants, in a university hospital. Clamping time and medical records were observed, and a structured questionnaire was applied to postpartum women for sociodemographic variables. Bivariate analysis, multivariate Poisson Regression model, and Kappa concordance test were performed. RESULTS: The percentage of late/optimal clamping observed was 53.7%. The associated factors were skin-to-skin contact in the delivery room (PR = 0.76; 0.61–0.95; p = 0.014), position of the newborn below the vaginal canal (PR = 2.6; CI95%: 1.66–4.07; p < 0.001), position of the newborn at the vaginal level (PR = 2.03; CI95%: 1.5–2.75; p < 0.001), and need for newborn resuscitation in the delivery room (PR = 1.42; CI95%; 1.16–1.73; p = 0.001). Kappa concordance level of the professionals, records compared to the observation was: nurse 0.47, obstetrician 0.59, and pediatrician 0.86. CONCLUSION: the identification of associated factors and the comparison between recording and observing the clamping time can help in the planning and implementation of improvements for adherence to good practices at birth.

Factors associated with delayed umbilical cord clamping in public health facilities in Debremarkos town, northwest Ethiopia

“…In this study, the percentage of delayed cord clamps (DCC) was found to be 53.09% (95% CI: 48.09-58.03%). This finding is comparable to the findings of studies conducted in Nepal (48%) (20) and Brazil (53.7%) (29). It is also in accordance with a study conducted in five public hospitals in Bangladesh, Nepal, and Tanzania, which shows that 47.3-73% of the newborns received DCC (32).…”

“…For this study, a checklist that was adopted from studies done in different literature was used (12,16,(25)(26)(27)(28)(29)(17)(18)(19)(20)(21)(22)(23)(24). Data were collected through participant observation to prevent bias.…”

“…Finally, binary logistic regression was used to determine factors of receiving DCC. Bivariable logistic regression was used to identify statistically significant independent variables, and independent variables having a p-value of less than 0.2 were considered candidates for multivariable logistic regression for controlling confounders (29). Model assumption fulfillment and the multicollinearity test were done prior to multivariate logistic regression.…”

Characterization of chitosana films produced with incorporation of anacardium microcarpum ducke extract

“…Noting that higher rates of exclusive or predominant breastfeeding after hospital discharge and assistance in maintaining body temperature and better neurological outcomes are observed in full-term newborns from birth to 4 years of age. Despite the benefits shown, high rates of early/immediate clamping are still identified, which is considered an outdated care protocol (STRADA, 2020).…”

Predisposing factors for breastfeeding in the first hour of life

“…Importante ressaltar que a ligadura precoce do cordão umbilical é indicada para neonatos que necessitam de reanimação. Assim, constata-se que esse amplo conhecimento disponível não se traduz em ações no cotidiano de alguns profissionais (23) .…”