Cord cutting should be delayed in which condition: September 2009

Ans. B: Sever Anemia Delaying clamping of the umbilical cord in full-term neonates for a minimum of 2 minutes following bih is beneficial to the newborn in giving improved hematocrit, iron status as measured by ferritin concentration and stored iron, as well as a reduction in the risk of anemia.This is beneficial only in full term mature baby and may be deleterious to a preterm or low bih baby due to hypervolemia. Negative effects of delayed cord clamping include an increased risk of polycythemia. Early clamping should be done in cases of Rh-incompatibility (to prevent antibody transfer from the mother to the baby) or babies born to asphyxiated or one of a diabetic mother.