1PhD, Nursing Scholar, M.G.M. College of Nursing, Kamothe, Ndavi-Mumbai
2Prof. of Pediatrics & Medical Superintendent, M.G.M. Medical College Hospital, Kalamboli, Navi-Mumbai
3Prof. cum Principal, M.G.M. Nursing College, Kamothe, Navi-Mumbai
Online published on 27 January, 2017.
Iron-deficiency anemia affects an estimated 20% to 25% of infants worldwide, with a higher proportion having iron deficiency without anemia. Anemia (IDA) is highest among children aged less than five years. The gentle birth practices are accepted as nursing intervention after delivery, as the large volume of blood remains in the placenta and umbilical cord that could be the source for an autologous “placental transfusion.
1. Asses the selected immediate neonatal and developmental outcomes of the newborn after stripping of the umbilical cord blood at birth in interventional group. 2. Asses the selected immediate neonatal and developmental outcomes of the newborn in control group 3. To compare the effectiveness of selected immediate neonatal and developmental outcomes in interventional group and control group. Randomization- sampling technique used was computer generated random number tables.
The sample consisted of 50 neonates who have fulfilled the inclusion criteria selected in MGM Hospital, Kalamboli, and NMMC hospital, Vashi. Informed consent was obtained from each sample before the study. Mothers who have undergone full term normal vaginal delivery were given an intervention program me on stripping of the umbilical cord towards the baby at birth and the post test was done following the birth for three days. Both groups received same routine care. The data was tabulated and analyzed using descriptive and inferential statistics.
The post test mean of selected neonatal physiological parameters like H.R., R.R. and Spo2 on day 3 of interventional group is statistically more than the control group, which shows improvement in post test immediate neonatal physiological parameters. The Mean PCV on day 3 of birth in study group was 11.96 and control group was 11.88. There is no significant difference between selected neonatal parameters in the heart rate, respiratory rate, Polycythemia, serum bilirubin, and need of phototherapy in experimental and control group.
The findings revealed that the gentle birth practice as active intervention for stripping of the umbilical cord towards the baby at birth is safe and effective procedure and was useful in improving selected immediate neonatal and developmental physiological outcomes among term neonates.
Effect, Stripping of Umbilical cord, Immediate Neonatal, developmental outcomes
