Term Yenidoğanlarda Doğumun Üçüncü Evresinde Umblikal Kordun Klempleme ve Kesilme Uygulamaları

Yıl 2019, Cilt: 28 Sayı: 3, 237 - 241, 30.09.2019

Deniz Batman Ayden Çoban

Öz

Doğumun üçüncü evresinde
yenidoğana doğru uygulamaların yapılması neonatal mortalite ve morbiditeyi
azaltmak açısından son derece önemlidir. Yenidoğanın umblikal kord klempleme ve
kesme işlemi de bu uygulamalar arasında yer almaktadır. Ebelerin çalışma ve
sorumluluk alanları arasında yenidoğanın umblikal kord klempleme ve kesilmesi
de yer almaktadır.  Bu açıdan konu
hakkında güncel yaklaşımları bilmeleri önemlidir. Bu çalışmada, yenidoğanın umblikal kord klempleme ve
kesilmesi uygulamalarında güncel yaklaşımlar incelenmiştir.

Anahtar Kelimeler

Umblikal kord, yenidoğan, ebelik

Kaynakça

• Dereli Yılmaz S. Doğumun ikinci ve üçüncü evresi. Ebelere yönelik kapsamlı doğum. (Demirgöz Bal M, Dereli Yılmaz S): 118-135. Ankara, Akademisyen kitapevi, 2017.
• Tarnow-Mordi WO, Duley L, Field D, Marlow N, Morris J, Newnham J et al. Timing of cord clamping in very preterm infants: more evidence is needed. American Journal of Obstetrics and Gynecology. 2014;211:118-23.
• Duchowska A, Azsukowski P. Remarks on the length of umbilical arteries in human umbilical cord. A preliminary report. Archives of Perinatal Medicine. 2012;18:169-72
• Soğukpınar N, Karaca SB, Kuru Oktay A. Yenidoğanların göbek düşme süresi ve etkileyen etmenler. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2013;16:1-7.
• McDonald SJ, Middleton P. Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. Cochrane Database Systematic Reviews. 2008.
• Kluckow M, Hooper SB. Using physiology to guide time to cord clamping. Seminars in Fetal & Neonatal Medicine. 2015;20:225-31.
• Hutton EK, Hassan ES. Late vs early clamping of the umbilical cord in full-term neonates: systematic review and meta-analysis of controlled trials. JAMA. 2007;297: 1241-52.
• Hutchon DJ. Why do obstetricians and midwives still rush to clamp the cord?. BMJ: British Medical Journal (Online). 2010;341.
• McDonald S. Management of the third stage of labour. Journal of Midwifery and Women’s Health. 2007;52: 254-61.
• Chaparro CM. Timing of umbilical cord clamping: effect on iron endowment of the newborn and later iron status. Nutrition reviews. 2011;69:30-6.
• The American College of Obstetricians and Gynecologists (ACOG) 2014. Time to Implement Delayed Cord Clamping. Available from: https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Obstetric Practice/Delayed-Umbilical-Cord-Clamping-After-Birth . Accessed at 07.06.2018.
• World Health Organization (WHO) 2014. Delayed clamping of the umbilical cord to reduce infant anaemia. Available from: http://apps.who.int/iris/bitstream/handle/10665/148793/9789241508209_eng.pdf;jsessionid=6B35B503572A93AA8CBCB7047C43BF2A?sequence=1. Accessed at 08.06.2018.
• The American College of Obstetricians and Gynecologists (ACOG) 2017. Delayed Umbilical Cord Clamping After Birth. Available from: https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Delayed-Umbilical-Cord-Clamping-After-Birth. Accessed at 07.06.2018.
• Mercer JC. Current best evidence: a review of the literature on umbilical cord clamping. Journal of Midwifery & Women’s Health. 2001;46:402-14.
• Eichenbaum‐Pikser G, Zasloff JS. Delayed clamping of the umbilical cord: a review with implications for practice. Journal of Midwifery & Women’s Health. 2009;54:321-26.
• McDonald SJ, Middleton P, Dowswell T, Morris PS. Cochrane in context: Effect of timing of umbilical cord clamping in term infants on maternal and neonatal outcomes. Evidence‐Based Child Health: A Cochrane Review Journal. 2014;9:398-400.
• Rabe H, Diaz-Rossello JL, Duley L, Dowswell T. Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes. Cochrane Database Systematic Reviews. 2012;15:1-7.
• Crowley M, Kirpalani HA. A rational approach to red blood cell transfusion in the neonatal ICU. Current Openion in Pediatrics. 2010;22:151-7.
• Alan S. Doğumda göbek kordonu sıvazlamanın prematüre yenidoğanlarda hematolojik, hemodinamik parametreler ve prematürelikle ilişkili morbiditeler üzerine etkilerinin değerlendirilmesi. Neonatal Sağlık. 2013;2:25-7.
• Askelöf U, Andersson O, Domellöf M, Fasth A, Hallberg B, Hellström-Westas L et al. Wait a minute? An observational cohort study comparing iron stores in healthy Swedish infants at 4 months of age after 10-, 60-and 180-second umbilical cord clamping. BMJ open. 2017;7:1-8.
• Ceriani Cernadas JM, Carroli G, Pellegrini L. The effect of early and delayed umbilical cord clamping on ferritin levels in term infants at six months of life: A randomized, controlled trial. Arch Argent Pediatr. 2010;108:201-208.
• Al-Wassia H, Shah PS. Efficacy and safety of umbilical cord milking at birth: a systematic review and meta-analysis. JAMA pediatrics. 2015;169:18-25.
• Körükcü Ö, Avgören G. Gecikmiş kord klemplenmesinin ve kordon sıvazlamasının yenidoğan sağlığına etkisi. Journal of Anatolia Nursing and Health Sciences. 2016;19:46-52.
• Mercer JS, Erickson-Owens DA. Rethinking placental transfusion and cord clamping issues. J Perinat Neonatal Nursing. 2012;26: 202-17.
• Upadhyay A, Gothwal S, Parihar R, Garg A, Gupta A, Chawla D et al. Effect of umbilical cord milking in term and near term infants: randomized control trial. American Journal of Obstetrics & Gynecology. 2013;208:120-e1.
• Katheria AC, Troung G, Cousins L, Oshiro B, Finner N. Umbilical cord milking versus delayed cord clamping in preterm infants. Pediatrics. 2015;136:61-9.
• Duley LMM, Weeks AD, Hey EN, Drife JO. Clamping of the umbilical cord and placental transfusion. Scientific Advisory Committee Opinion paper. RCOG Women’s Health Guidelines. 2009. Available from: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/sip14/. Accessed at 07.06.2018.
• Palethorpe RJ, Farrar D, Duley L. Alternative positions for the baby at birth before clamping the umbilical cord. Cochrane Database of Systematic Reviews. 2010;10.
• Shirvani F, Radfar M, Hashemieh M, Soltanzadeh MH, Khaledi H, Mogadam MA. Effect of timing of umbilical cord clamp on newborns' iron status and its relation to delivery type. Archives of Iranian medicine. 2010;13: 420-25.
• Van Rheenen P, Brabin BJ. A practical approach to timing cord clamping in resource-poor settings. BMJ. 2006;333:954-58.