Delayed Cord Clamping in Cesarean Section with General Anesthesia

Risto Erkkola; Pentti Kero; Jussi Kanto; Heikki Korvenranta; Veikko Nanto; Tuomas Peltonen

doi:10.1055/s-2007-999995

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Am J Perinatol 1984; 1(2): 165-169
DOI: 10.1055/s-2007-999995

ORIGINAL ARTICLE

Delayed Cord Clamping in Cesarean Section with General Anesthesia

Risto Erkkola¹ , Pentti Kero² , Jussi Kanto³ , Heikki Korvenranta² , Veikko Nanto, Tuomas Peltonen⁴

¹Department of Obstetrics and Gynecology, University Central Hospital of Turku, 20520 Turku 52, Finland
²Department of Paediatrics, University Central Hospital of Turku, 20520 Turku 52, Finland
³Department of Anesthesiology, University Central Hospital of Turku, 20520 Turku 52, Finland
⁴Department of Clinical Chemistry, University Central Hospital of Turku, 20520 Turku 52, Finland

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Publication Date:
04 March 2008 (online)

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ABSTRACT

Delay in cord clamping after vaginal delivery increases the blood volume of the newborn. Similar effects have also been observed in cesarean section births. Other effects of delayed cord clamping in cesarean section have not been investigated. In a group of nineteen healthy mothers having elective cesarean sections the cord clamping time was increased from 0 minutes to 1.5 and 3 minutes. Significantly lowered PO₂ and pH and elevated plasma lactate levels were observed in infants with 3 minutes' delay when compared with the early clamping group. We conclude that, when healthy mature newborns are considered, early clamping of umbilical cord in cesarean section with general anesthesia is preferable to late clamping.

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