کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3919345 1599788 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Effects of in utero cord blood collection on post-cesarean hemoglobin levels
ترجمه فارسی عنوان
اثرات خون بند ناف بر روی سطوح هموگلوبین پس از سزارین
کلمات کلیدی
از دست دادن خون، سزارین، مجموعه، خون بند ناف، خونریزی مادرانه
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

ObjectiveTo assess effects of in utero cord blood collection on postoperative hemoglobin, hematocrit levels.Study designElective cesarean deliveries in which cord blood was collected were compared with match paired elective cesarean deliveries without cord blood collection. Pre–post-operative hemoglobin and hematocrit level differences were compared between study groups with Student's t test. Multivariate regression models were used to address confounders. Correlation between volume of collected UCB and mean decrease in blood count parameters was analyzed.ResultsA total of 399 cesarean deliveries during a 12 months period were included in the analysis. Mean decrease in hemoglobin levels was 1.08 g/dL (SD = 1.0) in UCB collected group compared to 0.84 g/dL (SD = 1.0) in control group (p = 0.002). Mean decrease in hematocrit levels was 3.1% (SD = 3.4) in cord blood collected cesarean delivery group compared to 1.9% (SD = 2.4) in control group (p = 0.002). Univariate analysis has shown the collected UCB volume to be uncorrelated with the change in hemoglobin levels (r = 0.013). Multivariate regression models, after adjusting for birth weight, age and number of prior cesarean, have shown the UCB collection to be significantly associated with the mean decrease in blood count parameters (estimate = 0.23 g/dL, t = −2.23, p = 0.02).ConclusionIn utero UCB collection is associated with a small increase in bleeding of little clinical importance. Amount of UCB is not associated with amount of change in hemoglobin and hematocrit levels. In utero UCB collection seems to be safe for expectant mothers scheduled for low-risk cesarean delivery.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Obstetrics & Gynecology and Reproductive Biology - Volume 193, October 2015, Pages 123–126
نویسندگان
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