Apgar Score and the Amount of Blood of Mother in Labour in Delayed Cord Clamping Period

Authors

  • Marlina Marlina Department of Midwifery, Politeknik Kesehatan Tanjung Karang, Bandar Lampung, Lampung, Indonesia
  • Indah Trianingsih Department of Midwifery, Politeknik Kesehatan Tanjung Karang, Bandar Lampung, Lampung, Indonesia
  • Adinda Juwita Sari Center for Research and Community Service, Politeknik Kesehatan Tanjung Karang, Bandar Lampung, Indonesia
  • Rosmadewi Rosmadewi Department of Midwifery, Politeknik Kesehatan Tanjung Karang, Bandar Lampung, Lampung, Indonesia

DOI:

https://doi.org/10.31965/infokes.Vol21.Iss2.1053

Keywords:

Apgar Score, Delayed Cord Clamping, Maternal

Abstract

A delay in cutting the umbilical cord in infants can increase the Apgar score in infants who experience asphyxia. Besides that, it can prevent postpartum hemorrhage from occurring. Most deaths from postpartum hemorrhage occur during the first 24 hours after delivery. This increase in the Apgar value proves that the longer the delay in the umbilical cord is carried out, even until it doesn't pulsate, the better the baby's body will be, which results in an increase in hemoglobin in the baby's body. The population in this study were all mothers in the 3-4 stage of labor in the city area. Bandar Lampung. The sample is part of the number and characteristics possessed by the population with 120 maternal. It is known the length of time delayed cord Clamping is performed on babies born (<30 seconds) as many as 3 (2.5%) respondents, while umbilical cord clamping is delayed for 30-180 seconds as many as 117 (97.5%) respondents, the Apgar score in newborns in the category of mild asphyxia - not asphyxia as much as 100%, the amount of blood that came out <250 grams was 93 (77.5% ) respondents and the amount of blood that came out 250 grams were 27 (22.5%) respondents. Delayed cord clamping does not increase the incidence of asphyxia and bleeding in laboring mothers, so immediate umbilical cord clamping can be performed by observing the baby's birth condition.

Downloads

Download data is not yet available.

References

Andersson, O., Hellstrom, L., Andersson, D., & Domellof, M. (2013). Effect Of Delayed Versus Early Umbilical Cord Clamping On Neonatal Outcomes And Iron Status At 4 Months: A Randomised Controlled Trial. BMJ, 343 (10), pp 1-12. https://doi.org/10.1136/bmj.d7157

Asisdiq, I., Sudding, & Side, S. (2017). Penundaan Pemotongan Tali Pusat Terhadap Tingkat KEbugaran Bayi Asfiksia di BPM Ernawati kabupaten Garut tahun 2017. Pendidikan Kimia PPs UNM, 1(1), 91–99. Retrieved from https://journal.unsika.ac.id/index.php/HSG/article/view/1315

Buwana, T. I. (2015). Perbedaan Lama Pelepasan Tali Pusat antara Pemotongan Tali Pusat Segera Setelah Lahir dengan Lotus Birth. Jurnal Ilmiah Bidan, 1(1), 15-24. Retrieved from https://e-journal.ibi.or.id/index.php/jib/article/view/58

Cernadas, J. M. C., Carroli, G., & Lardizábal, J. (2006). Effect of timing of cord clamping on neonatal venous hematocrit values and clinical outcome at term: a randomized, controlled trial: in reply. Pediatrics, 118(3), 1318-1319. https://doi.org/10.1542/peds.2005-1156

Chaparro, C. M. (2011). Timing of umbilical cord clamping: effect on iron endowment of the newborn and later iron status. Nutrition reviews, 69(suppl_1), S30-S36. https://doi.org/10.1111/j.1753-4887.2011.00430.x

Departemen Kesehatan Republik Indonesia. (2008). Asuhan Persalinan Normal dan Inisiasi Menyusui Dini. Jakarta: Jaringan Nasional Pelatihan Klinik-KR.

Dinas Kesehatan Provinsi Lampung. (2022). Profil Kesehatan Provinsi Lampung. Bandar Lampung.

Harry, O. W. F. (2010). Ilmu Kebidanan: Patologi & Fisiologi Persalinan. Yogyakarta: Andi Offset.

Hutchon, D. J. (2012). Immediate or early cord clamping vs delayed clamping. Journal of Obstetrics and Gynaecology, 32(8), 724-729. https://doi.org/10.3109/01443615.2012.721030

Kementerian Kesehatan Republik Indonesia. (2013). Buku Saku Pelayanan Kesehatan Ibu Di Fasilitas Kesehatan Dasar dan Rujukan. Jakarta: Kementerian Kesehatan Republik Indonesia

Kementerian Kesehatan Republik Indonesia. (2022). Profil Kesehatan Indonesia 2021. Jakarta: Kementerian Kesehatan Republik Indonesia

Kohn, A. (2013). Time to delay: a literature review of delayed cord clamping. J Neonatal Biol, 2(2), 119. https://doi.org/10.4172/2167-0897.1000119

McDonald, S. J., Middleton, P., Dowswell, T., & Morris, P. S. (2014). Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. Evidence‐Based Child Health: A Cochrane Review Journal, 9(2), 303-397. https://doi.org/10.1002/ebch.1971

Mercer, J. S. (2001). Current best evidence: a review of the literature on umbilical cord clamping. Journal of midwifery & women's health, 46(6), 402-414. https://doi.org/10.1016/S1526-9523(01)00196-9

Panburana, P., Odthon, T., Pongmee, P., & Hansahiranwadee, W. (2020). The effect of umbilical cord milking compared with delayed cord clamping in term neonates: A randomized controlled trial. International Journal of Women’s Health, 12, 301–306. https://doi.org/10.2147/IJWH.S233487

Pinontoan VM, & Tombokan SGJ. (2015). Hubungan Umur dan Paritas Ibu dengan Kejadian Bayi Berat Lahir Rendah. Jurnal Ilmiah Bidan, 3(1), 20–25. Retrieved from https://ejurnal.poltekkes-manado.ac.id/index.php/jidan/article/view/355/321

Podungge, Y. (2019). Pengaruh Penundaan Penjepitan Tali Pusat Terhadap Kadar Hemoglobin Bayi Baru Lahir di Puskesmas Sipatana Kota Gorontalo. Politeknik Kesehatan Kemenkes Gorontalo. Jurnal Nasional Ilmu Kesehatan, 1(3). Retrieved from http://journal.unhas.ac.id/index.php/jnik/article/view/6098

Pong, K. M., Puasa, N., & Mahdy, Z. A. (2022). A Survey on Current Practices of Umbilical Cord Clamping in Malaysia. Frontiers in Medicine, 9, 917129. https://doi.org/10.3389/fmed.2022.917129

Pradana, A. R. A. (2021). Hubungan Antara Paritas dengan Kejadian Perdarahan PostPartum. 10, 326–331. Retrieved from https://akper-sandikarsa.e-journal.id/JIKSH/article/view/565

Purisch, S. E., Ananth, C. V., Arditi, B., Mauney, L., Ajemian, B., Heiderich, A., Leone, T., & Gyamfi-Bannerman, C. (2019). Effect of delayed vs immediate umbilical cord clamping on maternal blood loss in term cesarean delivery: A randomized clinical trial. JAMA - Journal of the American Medical Association, 322(19), 1869–1876. https://doi.org/10.1001/jama.2019.15995

Rahmawati, I. L. (2017). Lama Waktu Penundaan Pemotongan Tali Pusat Terhadap Perbedaan Kadar Hemoglobin Pada Bayi Baru Lahir. Semarang: Poltekkes Kemenkes Semarang. http://repository.poltekkes-smg.ac.id//index.php?p=show_detail&id=12560

Rashwan, A., Eldaly, A., El-Harty, A., Elsherbini, M., Abdel-Rasheed, M., & Eid, M. M. (2022). Delayed versus early umbilical cord clamping for near-term infants born to preeclamptic mothers; a randomized controlled trial. BMC Pregnancy and Childbirth, 22(1), 1–7. https://doi.org/10.1186/s12884-022-04831-8

Rendra K. A, I. ., Kemara, K. P., & Megadhana, I. W. (2013). Penundaan Penjepitan Tali Pusat Sebagai Strategi Yang Efektif Untuk Menurunkan Insiden Anemia Defisiensi Besi Pada Bayi Baru Lahir. E-Jurnal Medika Udayana, 2(9), 1615–1631. Retrieved from https://ojs.unud.ac.id/index.php/eum/article/view/6301

Riksani, R. (2012). Keajaiban Tali Pusat dan Plasenta Bayi. Jakarta: Dunia Sehat.

Satriyandari Y, H. N. (2017). Faktor-Faktor Yang Mempengaruhi Kejadian Perdarahan Postpartum. J Health Stud. 1: 47–64. https://doi.org/10.31101/jhes.185

Setiawan, W. (2009). Perbandingan Waktu Penjepitan Tali Pusat Segera Dan Waktu Penjepitan Tali Pusat Lambat Pada Bayi Premature Di RSHS. [Tesis]. Bandung: Universitas Padjadjaran.

Sundari, A. (2016). Pengaruh Waktu Penjepitan Tali Pusat Bayi Cukup Bulan Terhadap Kadar Hemoglobin dan Hematokrit Bayi Pada Persalinan Normal. [Tesis]. Yogyakarta; Universitas Aisyiah Yogyakarta. http://digilib.unisayogya.ac.id/1865/

Utami, V. W., Anggraini, A., & Rachmawati, E. (2021). Perbedaan Lama Pelepasan Tali Pusat Dengan Pemotongan Tali Pusat Segera Setelah Lahir Di BPM Satria Siswihipni Dan BPM Tety Septiana Jati Agung Lampung Selatan. Malahayati Nursing Journal, 3(3), 476-484. Retrieved from https://ejurnalmalahayati.ac.id/index.php/manuju/article/view/4806

WHO. (2019). Maternal deaths decline slowly with vast inequalities worldwide. Geneva. https://www.who.int/news/item/19-09-2019-maternal-deaths-decline-slowly-with-vast-inequalities-worldwide.

WHO. (2012). Guidelines on Basic Newborn Resuscitation. Geneva, World Health Organization. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/75157/9789241503693_eng.pdf

Wickham, S. (2006). Midwifery: Best Practice Volume 4. Edinburgh: Elsevier Limited.

Winkler, A., Isacson, M., Gustafsson, A., Svedenkrans, J., & Andersson, O. (2022). Cord clamping beyond 3 minutes: Neonatal short-term outcomes and maternal postpartum hemorrhage. Birth, 49(4), 783–791. https://doi.org/10.1111/birt.12645

Downloads

Published

2023-06-30

How to Cite

Marlina, M., Trianingsih, I., Sari, A. J., & Rosmadewi, R. (2023). Apgar Score and the Amount of Blood of Mother in Labour in Delayed Cord Clamping Period. JURNAL INFO KESEHATAN, 21(2), 391–399. https://doi.org/10.31965/infokes.Vol21.Iss2.1053

Issue

Section

Original Articles