The Correlation between Type of Delivery and Umbilical Cord Blood Hemoglobin and Hematocrit in Full-Term Neonates

Document Type : Original Article (s)

Authors

1 Faculty Member, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran

2 Faculty Member, Department of Midwifery, School of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran

3 Student Research Committee, Gonabad University of Medical Sciences, Gonabad, Iran

Abstract

Background: Neonates with lower hemoglobin and hematocrit are more at risk of iron deficiency anemia. This rate is influenced by several factors. Children's health can be improved by identifying these factors and taking appropriate actions. This study determined the relationship between type of delivery and umbilical cord blood hemoglobin and hematocrit.Methods: This descriptive correlational study was performed on full-term neonates born in 22-Bahaman hospitals in Gonabad, Iran, during 2011. The sample size was determined based on previous studies and means comparison. Purposeful sampling was used to select 90 cases of normal delivery and 90 cases of caesarean section. Cord closure time was similar in both groups. Umbilical vein blood samples were sent to the specific laboratory for hemoglobin and hematocrit to be measured. The data was analyzed by t-test, Fisher's exact test, Pearson's correlation and analysis of variance (ANOVA) at a significance level of 5% in SPSS16.Findings: Our results showed that the mean of hemoglobin in normal delivery and caesarean section cases were 15.11 ± 1.38 and 13.88 ± 1.52, respectively. The difference between the two values was statistically significant (P < 0.001). There was a significant difference between the mean of hematocrit in normal delivery (43.64 ± 4.58) and caesarean section (40.73 ± 4.53) groups (P < 0.001). The results showed a significant difference between hemoglobin and hematocrit levels in both sexes, i.e. the levels were higher in boys (P = 0.01). Conclusion: Umbilical cord blood hemoglobin and hematocrit in neonates of caesarean section were less than those with normal delivery. Therefore, the first group is more at risk of iron deficiency anemia. Development and promotion of safe vaginal delivery are recommended to avoid unnecessary complications of cesarean section. Moreover, iron deficiency anemia should be followed and treated in cesarean section cases.

Keywords

References

  1. Mamory GH, Hamedy A. Rated neonatal cord hemoglobin & hematocreat compared with mother. Medical Journal of Mashhad University of Medical Sciences 2003; 46(79): 41-4.
  2. Navidian A, Ebrahimi Tbas E, Sarani H, Yaghobinia F. Prevalence of fertin poor in pregnant's women in health centers in Zahedan. Journal of Reproductive 2006; 2(7): 132-8.
  3. Hematyar M, Ekhtiari A. Correlation between neonatal cord blood hemoglobin and hematocrit with mode of delivery. JQUMS 2008; 12(3): 22-3.
  4. Cunningham G, Leveno K, Bloom S, Hauth J, Gilstrap L, Wenstrom K. William Obstetrics. 22th ed. New York: McGraw-Hill; 2005.
  5. Kliegman R, Stoll BJ. Anemia in the newborn infant, blood disorders, non infectious disorders, the fetus and the neonatal infant. In: Behrman RE, Kligman RM, Jenson HB, editors. Nelson Textbook of Pediatrics. 17th ed. Philadelphia: Saunders; 2003. p. 599-601.
  6. Luchtman JL, Wilson B, Schwartz AL. Hematologic problems in the fetus and neonate, the blood and hematopoietic system, Development and disorders of organ system, disease of the fetus and infant. In: Fanarrof A, Martin R, editors. Neonatal Perinatal Medicine. 7th ed. New York: Mosby; 2002. p. 1187-9.
  7. Levy A, Fraser D, Katz M, Mazor M, Sheiner E. Maternal anemia during pregnancy is an independent risk factor for low birthweight and preterm delivery. Eur J Obstet Gynecol Reprod Biol 2005; 122(2): 182-6.
  8. Shirima CP, Kinabo JL. Nutritional status and birth outcomes of adolescent pregnant girls in Morogoro, Coast, and Dar es Salaam regions, Tanzania. Nutrition 2005; 21(1): 32-8.
  9. Lawoyin TO. The relationship between maternal weight gain in pregnancy, hemoglobin level, stature, antenatal attendance and low birth weight. Southeast Asian J Trop Med Public Health 1997; 28(4): 873-6.
  10. Achadi EL, Hansell MJ, Sloan NL, Anderson MA. Women's nutritional status, iron consumption and weight gain during pregnancy in relation to neonatal weight and length in West Java, Indonesia. Int J Gynaecol Obstet 1995; 48(Suppl): S103-S119.
  11. Marwaha N, Marwaha RK, Narang A, Thusu K, Garewal G, Bhakoo ON. Routine hematological values in term newborns. Indian Pediatr 1992; 29(9): 1095-9.
  12. Reinhardt MC, Marti HR. Haematological data of African newborns and their mothers in Abidjan. Helv Paediatr Acta Suppl 1978; (41): 85-99.
  13. Fabri RH, Murta EF. Socioeconomic factors and cesarean section rates. Int J Gynaecol Obstet 2002; 76(1): 87-8.
  14. Amir Ali Akbari S, Bahrami N, Tork Zahrani SH, Alavi Majd H. Knowledge and attitude of pregnant women regarding mode of delivery in women referring to dezful health centers. Faculty Of Nursing Of Midwifery Quarterly 2009; 18(63): 20-4.
  15. JamshidiManesh M, Oskouie F, Jouybary L, Sanagoo A. The process of women's decision making for selection of cesarean delivery. Iran J Nurs 2009; 21(56): 55-67.
  16. Vaziri Esfarjani Sh, Asgharinejad L. Correlation beetwean mean hemoglobin of umblicul cord who were borned in razi hospital. Journal of Isfahan Medical School 2006; 82(24): 21-5.
  17. Lubetzky R, Ben-Shachar S, Mimouni FB, Dollberg S. Mode of delivery and neonatal hematocrit. Am J Perinatol 2000; 17(3): 163-5.
  18. Lokeshwar MR, Dalal R, Manglani M, Shah N. Anemia in newborn. Indian J Pediatr 1998; 65(5): 651-61.
  19. Sheffer-Mimouni G, Mimouni FB, Lubetzky R, Kupferminc M, Deutsch V, Dollberg S. Labor does not affect the neonatal absolute nucleated red blood cell count. Am J Perinatol 2003; 20(7): 367-71.
  20. Lind T, Gerrard J, Sheridan TS, Walker W. Effect of maternal parity and infant sex upon the haematological values of cord blood. Acta Paediatr Scand 1977; 66(3): 333-7.
  21. Borna H, Borna SH, Rafati F, Haji Ebrahim Tehrani F. Umbilical cord hematocreat variables in different modes of delivery. Tehran University Medical Journals 2006; 64(8): 49-56.
  22. Herruzo AJ, Mozas J, Alarcon JL, Lopez JM, Molina R, Molto L, et al. Sex differences in serum hormone levels in umbilical vein blood. Int J Gynaecol Obstet 1993; 41(1): 37-41.
Journal of Isfahan Medical School
Volume 29, Issue 163 - Serial Number 163
September and October 2012
Pages 1984-1991

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History

  • Receive Date: 23 May 2011
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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