Comparative Analysis of Early vs. Delayed Cord Clamping in Full-Term Deliveries

Background: Cord clamping is a crucial step in the third stage of labor, influencing both neonatal and maternal outcomes. While early cord clamping (ECC) has been the standard practice, delayed cord clamping (DCC) is gaining recognition for its potential benefits. Aim This study compares the effects of DCC and ECC on neonatal hemoglobin levels, incidence of neonatal jaundice, and maternal postpartum blood loss. Material and Methods: A prospective comparative study was conducted on 200 term deliveries, with participants randomly assigned to ECC (clamping within 30 seconds) or DCC (clamping after 2–3 minutes). Neonatal hemoglobin and bilirubin levels were measured at 24 and 48 hours post-delivery, while maternal blood loss was assessed through postpartum hemoglobin changes. Results: DCC significantly increased neonatal hemoglobin levels, reducing neonatal anemia incidence. However, neonatal bilirubin levels were slightly higher in the DCC group, leading to a moderate increase in jaundice cases requiring phototherapy. Maternal blood loss and postpartum hemorrhage rates were not significantly different between the two groups. Conclusion: DCC provides substantial benefits in neonatal iron status while posing a manageable risk of jaundice. Given its advantages, DCC should be considered a routine practice with adequate neonatal jaundice monitoring