Correlation between umbilical cord hemoglobin and rate of jaundice requiring phototherapy in healthy newborns. Issue 4 (25th March 2015)

• Record Type: Journal Article
• Authors: Nakagawa, Machiko; Ishida, Yasushi; Nagaoki, Yuko; Ohta, Hidenobu; Shimabukuro, Rinshu; Hirata, Michio; Yamanaka, Michiko; Kusakawa, Isao
• Is Part Of: Pediatrics international. Volume 57:Issue 4(2015)
• Page Start: 626
• Page End: 628
• Publication Date: 2015-03-25
• Subjects: Pediatrics -- Periodicals; 618.92
• DOI: 10.1111/ped.12583
• Languages: English
• ISSNs: 1328-8067

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="ped12583-sec-0001" sec-type="section"> <title>Background</title> <p>Delay of umbilical cord clamping by at least 1 min is recommended for newborns not requiring resuscitation in the International Liaison Committee On Resuscitation–Consensus on Science with Treatment Recommendations (ILCOR‐CoSTR) 2010 guidelines. The delay in clamping improves iron status through early infancy but may increase the likelihood of jaundice requiring phototherapy. The present study investigated the relationship between umbilical cord hemoglobin and the rate of jaundice requiring phototherapy in healthy Japanese newborns.</p> </sec> <sec id="ped12583-sec-0002" sec-type="section"> <title>Methods</title> <p>Cord hemoglobin was measured in healthy newborns and the rate of infants receiving phototherapy for jaundice and other data were obtained from medical records.</p> </sec> <sec id="ped12583-sec-0003" sec-type="section"> <title>Results</title> <p>Jaundice requiring phototherapy mostly occurred in association with high cord blood hemoglobin, which is increased by delayed cord clamping.</p> </sec> <sec id="ped12583-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Higher cord hemoglobin may increase neonatal jaundice in newborns in Japan, therefore the present results support the Japan Resuscitation Council guideline 2010, which does not recommend delay of umbilical cord clamping by at least 1 min, in contrast to the ILCOR guidelines.</p> </sec> </abstract>