Author(s): Gyorkos TW, MaheuGiroux M, Blouin B, CreedKanashiro H, Casapa M,
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Abstract OBJECTIVE: To assess the effectiveness of a hospital policy change toward delayed cord clamping on infant hemoglobin (Hb) levels and anemia status at 4 and 8 months of age. METHODS: A cohort of Peruvian mothers and infants, originating from a pre/post study investigating a change in hospital policy from early to delayed cord clamping, was followed until 8 months postpartum. Infant hemoglobin levels and anemia status were measured at 4 and 8 months postpartum. RESULTS: Following the hospital policy change, adjusted mean infant Hb levels improved by 0.89 gdl(-1) [95\% confidence interval (95\% CI) 0.57-1.22] and anemia was significantly reduced (aOR = 0.38; 95\% CI 0.19-0.78) at 8 months postpartum. CONCLUSIONS: A hospital policy change toward delayed cord clamping is effective in improving Hb levels and the anemia status of 8-month-old infants. Prior to scaling-up this intervention, issues related to training, monitoring, safety, additional long-term benefits and specific local conditions should be investigated.
This article was published in J Trop Pediatr
and referenced in Journal of Neonatal Biology