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2018, Number 1

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Rev Med MD 2018; 9.10 (1)

Time to umbilical cord clamping in public and private hospitals in Guadalajara

Haro-Cruz JS, Ruiz-Guerrero LI, Chávez-Gómez MR, López-Contreras S, Velázquez-Rangel MS, Barba-Landeros AK, Iturbide-Ibarra A, Rizo-Jiménez A, Bautista-Barba A, Mendoza-Ochoa AM, Duran-Botello P, Gutiérrez-Padilla JA

Language: Spanish
References: 23
Page: 18-23
PDF size: 524.32 Kb.


ABSTRACT

Introduction. National and international guidelines recommend late clamping and cutting of the umbilical cord, defined as clamping between the first and third minute. Evidence shows that this technique has beneficial cardiovascular, pulmonary, brain and metabolic benefits. We studied the frequence of this practice in public and private hospitals in western Mexico.
Material and Methods. A transversal, descriptive and retropective study was designed, with previous written consent. Eleven official directives from eleven hospitals in the metropolitan area of Guadalajara were interviewed, evaluating total births in the year 2016, average clamping time, as well as the existance of intrahospital politics and capacitation courses available for hospital staff in the late clamping technique.
Results. There were 33,480 births reported in the year, of which 2974 ( 8.8%) were in private hospitals. 30,506 births were registered in public hospitals. 27.8%(n= 8.506) happened in social security hospitals, and the rest in public hospitals. In 61.8% of the births, cord clamping was done during the first and third minute. In 12,755 births (38% of total births) it was done during the first minute and only in 30 births it was done after the third minute. In hospitals belonging to social security hospitals the procedure was done before th first minute in 85% of the births and the rest between 1 and 3 minutes. In the rest of the hospitals only 7% does it before one minute and the rest between one and 3 minutes.
Discussion. According to international recommendations, in the mayority of registered births, umbilical cord clamping happened between the 1st and 3d minutes. Healthcare personnel was familiarized with NOM 007 and clinical practice guidelines in Mexico. Two of these do not have an institucional politic and or training process of healthcare personel to define umbilical cord clamping time, which could be an opportunity to upgrade healthcare services.


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