The Effect of Delayed Umbilical Cord Cutting on Hemoglobin Levels in Newborns
Keywords:
Newborn, Umbilical Cord Cutting, Hemoglobin LevelsAbstract
Background: This quasi-experimental study evaluated the effect of delayed cord clamping on hemoglobin (Hb) levels in neonates at Kaur Regional Hospital. The background is the high neonatal mortality rate due to iron deficiency anemia, which is exacerbated by the practice of Immediate Cord Clamping (ICC), which results in the loss of 54-160 cc of blood in infants. The WHO recommends delaying cord clamping (DCC) for 1-3 minutes to improve neonatal iron status.
Method: The study used a quasi-experimental design with 30 respondents drawn by purposive sampling from the birth population at Kaur Regional Hospital. Subjects were divided into an intervention group (cord clamping >1 minute) and a control group (cord clamping <1 minute). Primary data were collected and analyzed using univariate and bivariate t-tests.
Results: The average Hb level in the intervention group was 18.27 g/dL (range 16-21 g/dL), significantly higher than the control group at 16.40 g/dL (range 14-18 g/dL). The statistical test obtained a t-value of 3.805 with p = 0.001 (p <0.05), indicating a significant effect of delayed cord clamping on neonatal Hb levels.
Conclusion: DCC is effective in increasing newborn Hb levels. It is recommended that Kaur Regional Hospital integrate DCC interventions lasting >1 minute into the active management protocol for the third stage of labor to prevent neonatal anemia and reduce infant mortality.
References
Abata, Qorry ‘Aina. 2015. Merawat Bayi Baru Lahir. Yogyakarta: Pustaka Pelajar.
Asfarina, 2020. Prevalensi Anemia pada Bayi Baru Lahir Berdasarkan Berat Lahir dan Usia Kehamilan di RSUP Dr. Hasan Sadikin Bandung. Sari Pediatri, Vol. 22, No. 4.
Budiman. 2021. Hubungan Anemia Pada Bayi Baru Lahir Dengan Kadar Hemoglobin Pada Ibu Hamil Trimester Ketiga Di Rumah Sakit Tk II Dustira. Jurnal Universitas Jenderal Achmad Yani. http://repository.unjani.ac.id/repository/48f42cf40be8d4fe9d7cf64b932c88bc.pdf
Destariyani E. 2020. Differences Of Anaemia Status, Nutritional Status And Nutritional Intake Adolescent Girl In Urban And Rural Areas. SANITAS from: https://sanitas.e-journal.id/index.php/SANITAS/article/view/20200601-haya
Dewi. 2019. Asuhan Neonatus Bayi Dan Anak Balita. Salemba Medika: Jakarta
Dinkes Kabupaten Kaur. 2024. Profil Data Kesehatan Kabupaten Kaur tahun 2023. Dinkes Provinsi Bengkulu
Dinkes Provinsi Bengkulu. 2024. Profil Data Kesehatan Provinsi Bengkulu tahun 2023. Dinkes Provinsi Bengkulu
Gunadi, V. I. ., Mewo, Y. M., dan Tiho, M. 2016. Gambaran kadar hemoglobin pada pekerja bangunan. Jurnal E-Biomedik,. 4(2), 2–7.
Helena. 2018. Korelasi Skor APGAR dengan Hemoglobin pada Neonatus di RSUP Haji Adam Malik Medan Tahun 2016-2017. http://repositori.usu.ac.id/handle/123456789/13428
Kemenkes RI. 2023. Profil Kesehatan Indonesia 2022. Kementrian Kesehatan Republik Indonesia: Jakarta
Kosim. 2017. Buku Ajar Neonatologi. Ikatan Dokter Anak Indonesia: Jakarta
Kusuma . 2022. Menumpas Penyakit dengan Darah Tali Pusat . Berlian media. Semarang
Lissauer.2018. Selayang Neonatalogi . edisi kedua. Indeks: Jakarta.
Marmi dan Rahardjo. 2018. Asuhan Neonatus, Bayi, Balita, dan Anak Prasekolah. Pustaka Belajar: Yogyakarta
Maryunani & Nurhayati, 2018. Asuhan Kegawatdaruratan dan Penyulit pada Neonatus. Trans Info Media: Jakarta
Nuraisyah. 2018. Asuhan Persalinan Normal bagi Bidan cetakan kedua. Bandung. Refika Aditama.
Riskawati. 2018. Hubungan kadar hemoglobin ibu saat hamil dengan apgar skor pada bayi baru lahir di RSUD prambanan. Karya Tulis Ilmiah thesis, Universitas Alma Ata Yogyakarta.
Santi. 2021. Pengaruh Penundaan Pemotongan Tali Pusat terhadap Kadar Hemoglobin pada Bayi Baru Lahir.ARKESMAS, Volume 6, Nomor 2
Sherwood L. 2017. Fisiologi Manusia dari Sel ke Sistem. Ed 8. Jakarta: EGC;
Sodikin. 2019. Buku Saku Perawatan Tali Pusat. Jakarta: EGC
Sudikno S, Sandjaja S. Prevalensi dan faktor risiko anemia pada wanita usia subur di rumah tangga miskin di Kabupaten Tasikmalaya Dan Ciamis, Provinsi Jawa Barat. J Kesehat Reproduksi
TRIANI, Agustina; MATERNITY, Dainty; FITRIA, Fitria. Penundaan Pemotongan Tali Pusat Terhadap Kadar Hemoglobin Pada Bayi Baru Lahir. MIDWIFERY JOURNAL, [S.l.], v. 2, n. 1, p. 41-48, mei 2022. ISSN 2746-7953. Tersedia pada: <https://ejurnalmalahayati.ac.id/index.php/MJ/article/view/6475>. Tanggal Akses: 27 sep. 2024 doi:https://doi.org/10.33024/mj.v2i1.6475.
Wahjudi. 2017. Hubungan antara lokasi insersi, panjang, dan indeks kumparan tali pusat dengan berat badan bayi lahir pada persalinan aterm. MEDICINA. Vol 50. No.3
Walyani, Elizabeth. 2019. Asuhan Kebidanan Pada Kehamilan. Yogyakarta: Pustaka Baru.
WHO. 2024. Newborn mortality. Diakses dari https://www.who.int/news-room/fact-sheets/detail/newborn-mortality pada tanggal 15 September 2024
Widiantari, 2023. Pengaruh Penundaan Pemotongan Tali Pusat Terhadap Kadar Hemoglobin Pada Bayi Baru Lahir. CARING, Volume 7 Nomor 1,
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