الفهرس 
Placenta and Umbilical CordOnly 14 pages are availabe for public view
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Abstract
Objectives:
To study the effect of gravity on the volume of placental transfusion in women undergoing normal vaginal delivery and deferred cord clamping.
Patients and methods:
A randomized controlled trial was designed to evaluate the effect of the position of the baby on placental transfusion in the first 2 minutes after delivery.
Four hundred full term pregnant females randomized into two groups:-
• group A (200 patients) ---- > Abdomen group.
• group I (200 patients) ---- >Introitus group.
All patients had vaginal delivery for term neonates. The first weight measurement of the baby will be taken immediately after birth using a digital scale which was previously set at the level of the abdomen of the mother (in Abdomen group) or the introitus (in Intoitus group) while the baby was left in position for 2 minutes then the second weight was recorded, the cord was cut and clumped.
Placental transfusion was calculated from the change in weight between the first and the second weights which was then converted into volume, 1 ml of blood weighing 1.05 g.
Results:
• The mean weight change was 89 g (SD±43.86) for 200 babies in the abdomen group compared with 96 g (SD±47.88) for 200 babies in the introitus group, supporting non-inferiority of the two approaches.
• Position of the mother during delivery did not notably affect the weight gain for newborn babies.
• There was no significant difference between the two groups regarding PPH, blood transfusion or sepsis.
• Newborn babies in the abdomen group were not inferior to those in the introitus group regarding Apgar score, body temperature, assisted ventilation or admittance to NICU.
Conclusion:
Putting the baby on the abdomen of the mother didn’t notably affect the volume of placental transfusion and allowed for early bonding between the mother and her baby.
Recommendations
Data from our study suggest that when umbilical cord clamping is delayed for 2 minutes, the volume of placental transfusion is similar for infants held on the mothers’ abdomen or chest and those held at the level of the vagina. Therefore, and because of the potential of enhanced bonding between mother and baby and increased success of breastfeeding and the compliance with the procedure; holding the infant by the mother immediately after birth should be strongly recommended.
Key words: Gravity, Placental Transfusion,, Deferred Cord Clamping, term neonates, introitus, abdomen