2014, Number 3
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Perinatol Reprod Hum 2014; 28 (3)
Monitoring over the time for clamping and cutting cord. Surveillance of new strategies for delivery care
Rangel-Calvillo MN
Language: Spanish
References: 13
Page: 134-138
PDF size: 269.76 Kb.
ABSTRACT
The new strategy for attention of the birth, suggest that the clamping of umbilical cordon must be made after three minutes of a born or when the vessel has collapsed. Now we know, that to clamp the cordon before three minutes can result in damage to the newborn, especially premature babies, those with asphyxia or those with acute fetal distress, all of them need that the placenta must continue to provide oxygenated blood and cell volume. We conducted a shadow’s study to evaluate the time of cord umbilical clamping. A database was constructed including the following data: delivery mode, time of clamping, height baby when clamping and cutting the cord umbilical. Our results showed that 115 infants were included, 92 obtained by vaginal delivery and 23 by cesarean. A large variation in time of clamping the umbilical cord was identified. Clamping time ranged from five to 35 seconds. It was determined that the time of cord clamping and height baby when clamping and cutting is not monitored by staff attending childbirth; and does not have a procedure to standardize these procedures. It is recommended to improve the care of newborn updating and standardizing obstetric newborn cardiopulmonary resuscitation maneuvers.
REFERENCES
Centro Latinoamericano de Perinatología. Guías para la atención de la mujer y el recién nacido focalizadas en APS del Centro Latinoamericano de Perinatología. Montevideo: CLAPS; 2008.
Matey P. Sociedad Española de Ginecoobstetricia (SEGO). Madrid: 2012.
Guía para la implementación de la atención integrada materna y neonatal calificada en los servicios institucionales de atención del parto. Guatemala: Ministerio de Salud Pública y Asistencia Social; 2010. pp. 22-6.
Mercer JS. Current best evidence: a review of the literature on umbilical cord clamping. J Midwifery Womens Health. 2001; 46: 402-14.
Mercer JS, Nelson CC, Skovgaard RL. Umbilical cord clamping: beliefs and practices of American nurse-midwives. J Midwifery Women Health. 2000; 45: 58-66.
Cunningham FG. Conducta en el parto normal. En: Cunningham FG, Mac Donald PC, Gant NF, Leveno KJ, Gilstrap LC (eds). Obstetricia de Williams. 4th ed. Barcelona: Masson; 1996. pp. 359-80.
Júbiz AH. Atención del parto normal. En: Botero JU, Júbiz AH, Henao G (eds). Obstetricia y ginecología. Texto integrado. Medellín: Universidad de Antioquia; 1999. pp. 114-44.
American Academy of Pediatrics, American College of Obstetricians and Gynecologists, March of Dimes Birth Defects Foundation. Guidelines for perinatal care. 4th. edition. 1997. Pediatrics 1997; 100:6 1021-1022
Waugh J, Johnson A, Farkas A. Analysis of cord blood gas at delivery: questionnaire study of practice in the United Kingdom. BMJ. 2001; 323: 727-33.
Ortega-García EM, Ruiz-Sacristán A. Guías de la unidad de atención de partos. Zaragoza: Hospital Universitario Miguel Server; 2007. pp. 67-78.
De Aragón F, Gómez MB, García-Londoño JC. La atención del recién nacido. Rev Col Obstet Ginecol. 2004; 55: 42-50.
Taylor ES. Asistencia del parto. En: Taylor ES (ed). Obstetricia de Beck. México: Interamericana; 1973. pp. 186-96.
Schuartz RL. El parto normal. En: Schuartz RL, Duverges CA, Díaz AG, Fescina RH (eds). Obstetricia. 4th. Buenos Aires: Editorial El Ateneo; 1986. pp. 310-405.