Effects of Delayed Neonate Cord Clamping on Oxygen Saturation, Apgar Score, and respiratory distress syndrome at Maternity Teaching Hospital in Sulaimani City

Abstract

Background: The World Health Organization has created a strategy to manage the third stage of labor that exchanged delayed cord clamping for early cord clamping in order to achieve several newborn advantages. Aim: This study was designed to evaluate the effect of delayed neonate umbilical cord clamping on Oxygen Saturation, Apgar score, and respiratory distress syndrome. Method: A true experimental study involving (160) pregnant women from the labor ward who were within the second stage of labor. Participants were randomly assigned between the 1st of July 2021 and the 1st of February 2022, Through the Structured Interviewing Questionnaire, samples were chosen using a simple random sampling procedure and neonatal outcomes checklist (Apgar score, oxygen saturation, and respiratory distress syndrome). was used, and the participants was randomly divided into two groups early cord clamping (< 1 minute) and delayed cord clamping (more than 1 minute). Descriptive and inferential statistics were applied to the data analysis. A structured interviewing questionnaire; includes two parts socio-demographic characteristics of the pregnant women with early and delayed cord clamping on neonatal outcomes (Apgar score, oxygen saturation, and respiratory distress syndrome). Result: among the 160 mothers, delaying cord clamping was linked to less study group participants' need for oxygen therapy. With both groups (DCC and ECC), there was a statistically significant difference in oxygen saturation between the first and tenth minutes. There was also a statistically significant difference in the Apgar score between the first and fifth minutes. Babies who had their cords clamped at 1-3 minutes or longer had their first breath and regular breathing established earlier. Neonatal respiratory distress was five times more common and neonatal intensive care unit admission was obviously greater in the Delayed cord clamping study group.Conclusion: The study concluded that Delaying cord clamping for longer than the first minute was a beneficial intervention to ensure higher oxygen saturation at the first and tenth minutes, and spontaneously breathing term newborn children born by vaginal delivery who received DCC into 1- 3 days old showed a clinical advantage on the neonatal outcome in that it was related with a decreased need for oxygen therapy among newborns as opposed to early cord clamping, which was associated with an increased need for oxygen therapy.