Effect of Stripping of the Umbilical Cord Blood towards the Baby at Birth on Hematological and Developmental Outcome in Infants

BackgroundThe base for common practice of cutting the umbilical cord after birth is in view of either that there is very little or no benefit by additional placental transfusion to the newborn. Active milking of the umbilical cord towards the baby prior to clamping (rather than passive) should take less than 10 seconds to perform and should resuscitation. Objectives1. Asses the selected neonatal and infant and developmental outcomes of the newborn after stripping of the umbilical cord blood at birth in interventional group.2. Asses the selected neonatal and infant and developmental outcomes of the newborn in control group3.To compare the effectiveness of selected neonatal and infant and developmental outcomes in interventional group and control group. Methodthe sampling technique used was randomization. Results: Majority (56%) of the newborns were male and (44%) female in the experimental group and 60% male and 40% female in the control group. The post test Mean PCV at 6months, 9months and 12months study group was 36.84, 35.56, 35.88 and control group was 32.22, 28.90, and 26.80. DDST-II the revised denvers developmental screening tool as per the percentile presentation ages of p25, p50, p75 and p90 reading of infants from study group for gross motor milestones showed that there are lift head up 45 degree at 2months milestones ,sit head steady at 4months , chest up arm supported at 5months , roll-over 5 months , pull to sit no head lag 6months , is in advanced stage when compared to that of control group milestones. language milestones showed that Vocalizes ,jabbers at and make sound OOO/AAH at one month at p50, p75 and p90 and laughs , Dada/mama specific by one year at p75 and p90 is in advanced stage Squeals at 4months , Dada/mama Non specific at 7months is delayed at of p25, p50, p75 and p90 readings , Imitate speech sounds is delayed at p50. ConclusionStripping of the umbilical cord towards the baby at birth is a safe, simple and low cost delivery procedure. Early screening using DDST-II is a valuable test for immediate and late infant developmental outcome to detect early developmental delays.