Pemerahan dan Penundaan Penjepitan Tali Pusat terhadap Kadar Hemoglobin Bayi Baru Lahir
DOI:
https://doi.org/10.26699/jnk.v5i3.ART.p195-200Keywords:
Pemerahan, Penundaan, HemoglobinAbstract
The incidence of iron deficiency anemia in term infants from 0-6 months is 40.8%. Efforts to reduce anemia in infants and toddlers is by ensuring the baby gets blood from the placenta through the umbilical cord. Labor occurs when oxygen shifts from the heart to the lungs 8-10% of the fetal period to 50% in neonates. Immediate cord clamping vascular resistance from the disconnected placenta which results in the increased of resistance of the baby's vascular system and eliminates about 1/4 of the volume of blood and iron in the neonate. The time of cutting the umbilical cord is a determining factor for placental transfusion to the baby. Delay cord clamping and umbilical cord milking are expected to provide iron reserves in infant. The aim of this study was to determine the differences in umbilical cord milking and delayed cord clamping. The design used experimental study with posttest-Only Control Group. The sampling technique used simple random sampling differs into treatment group and control group. The treatment group was umbilical cord milking and the control group was delayed cord clamping. The highest average of Hb levels in the umbilical cord milking group was 17.3mmHg and the delayed cord clamping group was 15.75 mmHg. Difference test on umbilical cord milking group and delayed cord clamping group used independent T-test obtained P <0.05 (p = 0,001). It is recommended that midwives used umbilical cord milking as an alternative action in providing midwifery care to newborns when clamping and cutting the umbilical cord. It was proven that there were differences in the haemoglobin levels of newborns between the umbilical cord milking group and delayed cord clamping group.References
Alan, S., Arsan, S., Okulu, E., Akin, I. M., Kilic, A., Taskin, S., Cetinkaya, E., Erdeve, O. & Atasay, B. 2014. Effects Of Umbilical Cord Milking On The Need For Packed Red Blood Cell Transfusions And Early Neonatal Hemodynamic Adaptation In Preterm Infants Born≤ 1500 G: A Prospective, Randomized, Controlled Trial. Journal Of Pediatric Hematology/Oncology, 36, E493-E498.
Andersson, O., Hellström-Westas, L., Andersson, D. & Domellöf, M. 2011. Effect Of Delayed Versus Early Umbilical Cord Clamping On Neonatal Outcomes And Iron Status At 4 Months: A Randomised Controlled Trial. Bmj, 343, D7157.
Begley, C. M., Gyte, G., Murphy, D. J., Devane, D., Mcdonald, S. J. & Mcguire, W. 2010. Active Versus Expectant Management For Women In The Third Stage Of Labour.
Carlson, E. S., Tkac, I., Magid, R., O'connor, M. B., Andrews, N. C., Schallert, T., Gunshin, H., Georgieff, M. K. & Petryk, A. 2009. Iron Is Essential For Neuron Development And Memory Function In Mouse Hippocampus. The Journal Of Nutrition, 139, 672-679.
Ceriani, C. J., Carroli, G., Pellegrini, L., Ferreira, M., Ricci, C., Casas, O., Lardizabal, J. & Morasso, M. C. 2010. The Effect Of Early And Delayed Umbilical Cord Clamping On Ferritin Levels In Term Infants At Six Months Of Life: A Randomized, Controlled Trial. Archivos Argentinos De Pediatria, 108, 201-208.
Chang, S., Zeng, L., Brouwer, I. D., Kok, F. J. & Yan, H. 2013. Effect Of Iron Deficiency Anemia In Pregnancy On Child Mental Development In Rural China. Pediatrics, Peds. 2011-3513.
Chaparro, C. M. 2011. Timing Of Umbilical Cord Clamping: Effect On Iron Endowment Of The Newborn And Later Iron Status. Nutrition Reviews, 69, S30-S36.
Erickson-Owens, D., Mercer, J. & Oh, W. 2012. Umbilical Cord Milking In Term Infants Delivered By Cesarean Section: A Randomized Controlled Trial. Journal Of Perinatology, 32, 580-584.
Katheria, A., Lakshminrusimha, S., Rabe, H., Mcadams, R. & Mercer, J. 2017. Placental Transfusion: A Review. Journal Of Perinatology, 37, 105.
Leduc, D., Senikas, V., Lalonde, A. B., Ballerman, C., Biringer, A., Delaney, M., Duperron, L., Girard, I., Jones, D. & Lee, L. S.-Y. 2009. Active Management Of The Third Stage Of Labour: Prevention And Treatment Of Postpartum Hemorrhage. Journal Of Obstetrics And Gynaecology Canada, 31, 980-993.
Mercer, J. S. & Skovgaard, R. L. 2002. Neonatal Transitional Physiology: A New Paradigm. The Journal Of Perinatal & Neonatal Nursing, 15, 56-75.
Ononeze, A. & Hutchon, D. 2009. Attitude Of Obstetricians Towards Delayed Cord Clamping: A Questionnaire-Based Study. Journal Of Obstetrics And Gynaecology, 29, 223-224.
Oski, F. & Naiman, J. 1996. Hematologic Problems In The Newborn Edisi Kedua. Philadelphia: Saunders.
Pramaditya, H. 2017. Analisis Luaran Maternal Dan Neonatal Pada Persalinan Preterm Perabdominam Yang Dilakukan Pemotongan Tali Pusat Metode Umbilical Cord Milking Dibandingkan Dengan Early Cord Clamping. Universitas Airlangga.
Prawirohardjo, S. 2014. Ilmu Kebidanan Sarwono Prawirohardjo, Jakarta, Pt.Bina Pustaka Sarwono Prawirohardjo.
Ringoringo, H. & Windiastuti, E. 2016. Profil Parameter Hematologik Dan Anemia Defisiensi Zat Besi Bayi Berumur 0-6 Bulan Di Rsud Banjarbaru. Sari Pediatri, 7, 214-8.
Shafir, T., Angulo-Barroso, R., Jing, Y., Angelilli, M. L., Jacobson, S. W. & Lozoff, B. 2008. Iron Deficiency And Infant Motor Development. Early Human Development, 84, 479-485.
Szajewska, H., Ruszczynski, M. & Chmielewska, A. 2010. Effects Of Iron Supplementation In Nonanemic Pregnant Women, Infants, And Young Children On The Mental Performance And Psychomotor Development Of Children: A Systematic Review Of Randomized Controlled Trials. The American Journal Of Clinical Nutrition, 91, 1684-1690.
Vain, N. E., Satragno, D. S., Gorenstein, A. N., Gordillo, J. E., Berazategui, J. P., Alda, M. G. & Prudent, L. M. 2014. Effect Of Gravity On Volume Of Placental Transfusion: A Multicentre, Randomised, Non-Inferiority Trial. The Lancet, 384, 235-240.
World Health Organization. 2017. Daily Iron Supplementation In Children 6-23 Months Of Age In Malaria-Endemic Areas [Online]. Available: Http://Www.Who.Int/Elena/Titles/Iron-Children-6to23-Malaria/En/.
Yao, A., Moinian, M. & Lind, J. 1969. Distribution Of Blood Between Infant And Placenta After Birth. The Lancet, 294, 871-873.
