Preliminary study on effect of delayed umbilical cord clamping on resuscitation of neonatal asphyxia

Objective To study the clinical effect of delayed umbilical cord clamping on the resuscitation of neonatal asphyxia,to improve the occurrence of neonatal asphyxia and prognosis of neonates with asphyxia.Methods All full-term neonates born in our hospital from January 2011 to December 2011 were randomly assigned to the experimental group (cord clamped at 2 minutes) and the control group (cord clamped at 15 seconds),resuscitation effect of the two groups were compared.Results There were 21 of 2085 infants in control group and 19 of 2313 infants in experimental group found with asphyxia,the experimental group had lower rate of asphyxia and higher successful rate of resuscitation in 5 minutes compared with the control group,but there was no statistical significant difference (P＞0.05); there was no statistical significant difference in CK-MB (P＞0.05) and lactate (P＞0.05).But blood base excess (BE) improved significantly (P=0.032).Conclusion Delayed umbilical cord clamping may improve successful rate of resuscitation and prognosis of neonates with asphyxia. Key words: Delayed umbilical cord clamping;  Neonatal asphyxia;  Resuscitation