Relationship between timely clamping of the umbilical Cord and cases of pathological jaundice

• Autor(a) principal: de Oliveira Gomes, Renata Mikaelly
• Data de Publicação: 2023
• Outros Autores: Guerreiro de França, Kátia, Ribeiro Gomes de Lima, Maíra, Ferreira de Melo , Gislane
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Health Residencies Journal (HRJ)
• Texto Completo: https://escsresidencias.emnuvens.com.br/hrj/article/view/805
• topic: Icterícia neonatal; Neonatologia; Cordão Umbilical; Clampeamento oportuno; Enfermagem obstétrica; Neonatal jaundice; Neonatology; The umbilical cord; Timely clamping; Obstetric nursing

Introduction: The practice of performing the timely clamping of the umbilical cord, although recommended by the main means of neonatal reference and considered a good obstetric practice, is debated in several literatures regarding its risks and benefits, which question its relation with cases of pathological jaundice Thus, the study aimed to evaluate the relationship between timely clamping of the umbilical cord and cases of pathological jaundice in the first days of life. Method: Analytical, cross-sectional observational study with retrospective analysis of a quantitative nature. We sought to analyze data on births assisted by obstetric nursing at a public hospital in the Federal District in the year 2021 through the unit's record book. Result: The study did not show a statistically significant relationship between the occurrence of cases of pathological jaundice and delayed cord clamping. The occurrence of more severe cases of jaundice related to blood incompatibility was observed in all cases. Among these, the most severe cases of jaundice had primiparous mothers and male new borns as a striking feature. Conclusions: The occurrence of cases of hyperbilirubinemia with in 24 hours of life related to delayed clamping did not show statistical significance, being with in the expected margin for the development of jaundice cases. On the other hand, a direct relation ship was observed between severe cases and ABO incompatibility between mothers and new borns.