Introduction The effects of Delayed Cord Clamping (DCC) on neonates. Early-cord clamping (ECC) became standard practice as apart of active management of the third stage of labor (AMTL) to reduce the risk of postpartum hemorrhage. Research shows ECC has no benefit to mother or baby. (Katheria et al, 2015). Population: Neonates within the first 5 minutes of life. Iron deficiency is a global health issue that contributes to impaired neurodevelopment affecting cognitive, motor, behavioral development (Anderson et al, 2015) Up to 100% of young children in low-income countries may experience an iron deficiency (Anderson et al, 2015) Research shows a 90% decrease in iron deficiency in DCC clinical trial at 4 months of age (Anderson et al) …show more content…
CINAHL MEDLINE PubMed Google Scholar was also used in obtaining research The American College of Obstetricians and Gynecologists organization website was used in obtaining their position statement. Search Words : Delayed Cord Clamping; Early Cord Clamping; Cord Milking; Placental Transfusion; Immediate Cord Clamping; Lotus Birth Extent and Nature of Literature There is strong literature suggesting that DCC may contribute to improved patient outcomes post birth. Specifically, research findings suggest that delayed cord clamping in neonates seem to outweigh the risks (Garofalo, Abenhaim, 2012). While the majority of the research is quantitative, the efficacy of DCC is best shown with quantitative data. This quantitative nature will increase understanding of DCC and its effects. Objective of Literature Review To identify the short-term effects of DCC (Ruangkit et al, 2015). To identify the associated risks and benefits of DCC and preventative measures for those risks (Garofalo et al, 2012). To determine the appropriate timing for DCC (ACOG, 2017). To identify the long-term effects of DCC (Anderson et al, 2015). To determine the safety and efficacy of DCC (Ruangkit et al, 2015). To increase awareness of DCC Overview of Organization Explain the nature of DCC Define standard practice Discuss the importance of nursing practice Discuss the population
Iron Deficiency Anemia affects millions of individuals across the world. This disease strikes many more women than men and has harmful effects on all who suffer from this deficiency that causes oxygen-carrying capacity to decrease. The causes can vary amongst different groups, but the aggravating symptoms remain constant. Much of the research on Iron Deficiency Anemia concentrates on not only the treatment of this disease, but also the prevention of it. To attain a better understanding of how to treat this problem, one must clearly know what Iron Deficiency Anemia means, what causes this disease, the effects of it, and finally how to cure it.
* Iron is needed for a baby is a god for healthy and blood also development.
It is easy to see that the medical abilities and tools we had 50 years ago are nothing in comparison to what we have today. Among these advances has been the extent to which we can prevent illness and disability. Fetal surgery first emerged in the 1980’s by Dr Michael Harrison aka “the father of fetal surgery,” when he decided to look into ways doctors could fix certain defects before birth to avoid their inevitable, devastating consequences. It has since expanded its practice to a number of hospitals across the country, although it is still an uncommon procedure. It involves opening up the mother 's uterus (just as a doctor would during a caesarean section) so that the fetus is exposed as much as needed to be operated on. The fetus is then put back and the uterus is closed until it is time for the mother to go into labor. The fetus is never detached from the mother and is essentially being operated on while inside the womb (Smajdor). While it may seem like a positive life changing procedure, there are many perspectives out there that support
Iron deficiency anemia, one of the most common types of anemia, is a blood disorder where
Iron is one of the important minerals that is required for our bodies to function properly. Most of the iron in our body is found in the blood such as haemoglobin, approximately 60 -70% of the human body’s iron is found in the haemoglobin, a protein in the blood that transports oxygen. Iron is also present in muscle tissue and some enzymes. There are two types of iron in the body which are “Heme Iron” from animal products and “Non-Heme Iron” vegetables and
Why would delayed cord clamping even be a topic of discussion or in practice if it was not beneficial to some degree for the neonate or mother? Early cord clamping takes place almost immediately after delivery and delayed cord clamping is preformed anywhere for 30-180 seconds after birth. The validity of the above question has been on the rise for some time. Why some doctors have made it protocol during a delivery or simply do it only if requested is still not yet understood. Some would say there are little benefits to waiting to clamp the umbilical cord after delivery, and some say there are many benefits, and then there are those that say there is no difference whether you clamp early or delayed. Throughout my research I have learned that yet some physicians will not wait to clamp the umbilical cord, there are minimal risk, if any, and although at first I thought delayed clamping was without a doubt more beneficial than immediate clamping, they really are not profound in the grand scheme of the neonates’ health. However, I have learned that in the preterm neonate waiting to clamp the umbilical cord can be more beneficial for various reasons than in a full term neonate. Because of the medical background I have, I believe the benefits for both mother and child are important postpartum, however, those that choose to not participate in delayed clamping are not putting their newborn at any risk
Iron is an important nutrient because it helps carry oxygen in the hemoglobin in red blood cells around the human body. When a healthy iron supply is reached, the body immediately stops absorbing the nutrient, and just lets it past through the digestive system. However, people with hemochromatosis absorb all the iron from the food consumed, past healthy levels. All the extra iron spreads throughout the body, and unevitably causes great damage to major organs and almost all other parts of the body. According to Survival of the Sickest, "hemochromatosis can lead to liver failure, heart failure, diabetes, arthritis, infertility, psychiatric disorders,... cancer," and other diseases if left untreated (Maulem
Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally
Hutton and Hassan (2007) provide a detailed abstract but lack a separate introduction. However, the abstract provides all the details of both. The rationale for the review is that benefits and risks need to be assessed to determine optimal timing of cord cutting after birth. The objectives were to look at
In depth discussion of planned and emergency C/S deliveries were also discussed. Planned C/S births were defined as “breech presentation, multiple pregnancy, preterm birth, small for gestational age, placenta praevia, morbidly adherent placenta, cephalopelvic disproportion in labor, mother-to-child transmission of maternal infection, Hepatitis B and C viruses, Herpes, and maternal request for C/S birth was outlined” (National Guideline Clearinghouse, 2011). An in-depth outline of anesthesia and surgical techniques followed. It seems that this source addressed nearly every type of C/S birth technique, including “method of placental removal, exteriorization of the uterus, closure of the uterus, peritoneum, abdominal wall, and subcutaneous tissue, use of superficial wound drains, closure of skin, and even timing of antibiotic administration and thromboprophylaxis for C/S births. Care of the woman after C/S surgery, routine monitoring, pain management, eating and drinking after surgery, and removing the urinary catheter after C/S surgeries was also discussed(National Guideline Clearinghouse, 2011)”. There is even a benefits/harms section that looks at potential risks and successes of C/S deliveries. The National Guidelines Clearinghouse
Elective inductions are becoming increasing popular and the old wait till you go into labor is becoming something of the past. Many woman want to predict when their future offspring will be here and be able to have a plan for when to take off of work. But one thing about having these elective inductions is the fact that they are more of a social event rather than a medical necessity. Studies have shown that the elective induction group makes up more than one third of the pregnant population (Jonsson 2012, pg. 198). This means woman are volunteering to make themselves go into labor before their body is ready. Not only are elective inductions increasing but being induced has been associated with a 3 to 4 fold increase in having a cesarean section (Yogev 2013, pg.1736). A Bishop Score is done before the start of any induction. This score is based off of cervical dilation, cervical effacement and the station of the babies head compared to the ischial spines. The number produced from this score shows whether or not the cervix is favorable or unfavorable. A favorable score is a score above 7. If the score falls below this, the cervix is not favorable. “Women who were closed dilation
Rationale: According to Rao & Georgieff (2007), there is an association between pregnancy and an increase demand for iron. Pregnancy demands about 1,000 mg of additional iron due to the expanding RBCs and plasma volumes of the mother and the growing placenta. Maternal iron is important for the transfer of the necessary amount of iron to the fetus, important for the development and function of the organ systems. Mothers with a poor iron status and malnutrition can lead to iron deficiency anemia, especially if the woman had insufficient iron before pregnancy (Perry, Hockenberry, Lowdermilk & Wilson,
The hospital that I work at does not have a labor and delivery unit, so my facility does not deliver infants. In the article Beliefs and Practices of Obstetric Care Providers Regarding Umbilical Cord Clamping, it is an interesting discussion to the timing of cutting the umbilical cord in full-term and preterm infants. Hill and Fontenot (2014) state, “If the umbilical cord remains unclamped for a small amount of time (approximately 30 to 120 seconds), rather than clamping immediately (15 to 20 seconds), placental transfusion occurs, increasing blood volume to the newborn and improving blood flow to vital organs” (Hill & Fontenot, p. 413). The article describes that waiting one minute or longer to clamp the umbilical cord can benefit the newborn
Overall, for women 16-44 years of age, the amount of folic acid being consumed was concerningly low initially, with a mean of 102µg/day. Current recommendations provided by the NHMRC (2006) for women at child-bearing age is an intake of at least 400µg of folate per day, with a 500µg daily supplement when trying for a baby. This is particularly with the focus of avoiding the incidence of NTDs in newborn infants. The mean folic acid intake has now increased to 247 µg/day (Australian Institute of Health and Welfare, 2017). In the past, mandatory fortification has also been under scrutiny for reaching those at greatest risk of producing Neural Tube Defects and to be less able to access foods fortified with folate acid, such as pregnant teenagers and Indigenous populations (Baker et al., 2009; Harrison et al., 2007). However, recent data indicates otherwise, likely as the food fortification occurs to bread which is a relatively affordable and available food eaten by most Australians (Australian Institute of Health and Welfare, 2017). Pregnant teenagers gave birth to 54.8% less NTD-effected children after mandatory folic acid fortification. A rate of 74% less NTDs amongst Indigenous women is an even more substantial decline of NTD occurrence, since folic acid fortification of breads became
Iron deficiency anemia is quite common in children, as iron is needed to support growth. A lack of iron in the diet can cause delays in brain development, which may be irreversible. Common symptoms of iron deficiency anemia include irritability, palor, weakness, and cold hands and feet. Prevention of anemia is crucial for expectant mothers, as anemic women are at a higher risk for delivery complications such as hemorrhaging and having infants of low-birth weight. (Frantz, C. 2010).