RESUMEN
Introduction: The umbilical cord of every newborn is clampedand cut at birth, yet the optimal timing for this interventionremains controversial. For at least over 200yrs, multiplecontroversies have arisen around the timing of umbilical cordclamping. Delayed cord clamping or placental transfusioncould be a cost effective intervention to improve the ironstatus of infants by enhancing their red cell mass. Search inliterature reveals that several controlled trials evaluating theshort term and long term hematological outcomes of delayedcord clamping have been performed in the past but veryfew studies have investigated the risk of hyperbilirubinemiaespecially from this part of the world. Hence this crosssectional study was conceptualized.Material and Methods: It was a cross-sectional studyconducted among 212 term infants born at RohilkhandMedical College and Hospital, Bareilly, over a period of 1year, who fulfilled the inclusion criteria were included in ourstudy.Results: In the present study, hemoglobin, bilirubin, andhematocrit levels at birth and at 24 hours of birth in Immediatecord clamping and Delayed cord clamping was taken. Meanlevels of hemoglobin, bilirubin and hematocrit was foundhigher in Delayed Cord Clamping group as compared toImmediate Cord Clamping group.Conclusion: The study was conclusive of the fact that interm infants delayed cord clamping increases hemoglobin,hematocrit and bilirubin levels at birth and at 24 hrs of birth ascompared to immediate cord clamping. Moreover, there wasno significant associated adverse effects.
RESUMEN
Introduction: Breastfeeding is a natural source of enormousvalue and is necessary for the life of babies. The influence ofinfants’ eating patterns, on subsequent cholesterol levels is ofinterest.Breastfeeding has been found to be protective againstatherosclerotic cardiac diseases and better lipid profile later inlife compared to bovine milk. Hence, the study was carried outwith aim to compare the lipid profiles of exclusively breastfedinfants and cow milk fed babies.Material and Methods: It was a Prospective ObservationalStudy conducted among fifty exclusively breastfed babiesand fifty exclusively cow milk fed babies. Lipid profile werecompared at three and six month of life over a span of oneyear in Rohilkhand Medical College and Hospital, Bareillywho fulfilled inclusion criteria of study.Results: In the present study, the exclusive breastfedbabies showed lower levels of cholesterol and low densitylipoprotein, rising levels of HDL/LDL ratio, high densitylipoprotein in exclusive breastfed babies as compared to cowmilk fed babies which showed declining concentrations ofhigh density lipoprotein, HDL/LDL ratio, rising levels of lowdensity lipoprotein.Conclusion: The study was conclusive of the fact thatexclusive breastfeeding for initial six month of life shows anedge to the positive lipid profile (decreasing cholesterol, lowdensity lipoprotein, triglycerides, and increasing high densitylipoprotein and HDL/ LDL ratio) over six month as comparedto exclusively cow milk fed babies.