Effect Of Umbilical Cord Clamping Time On Nutrition Status Of Infants: A Randomized-controlled Trial In Longisa Hospital, Bomet County, Kenya

Although most studies document the benefit of delaying umbilical cord clamping in relation to improved haemoglobin levels, few of those studies have been done in low resource settings. Standard routine practice in most facilities is generally clamping umblical cord in less than 60 seconds. This study therefore sought to establish the effects of umbilical cord clamping time on infant nutritional status at 6 months at Longisa County Referral Hospital through randomized controlled trial design. Sample size of n=204 of mother-infant pair was enrolled in both control and experimental group of the study. The experimental group involved clamping the umbilical cord between 3-5 minutes after delivery while the control group was clamped as per the standard routine practice in the facility. Infant’s blood sample was drawn and haemoglobin was assessed at birth, 6 weeks and 6 months. Ballard maturity assessment score was used to assess infant gestational age at birth. Weight was measured using SECA 354 and length was assed using SECA 210 length Matt. Mother -infant socio demographic characteristics collected using a validated questionnaire. A standard Pre-test questionnaire based on WHO 2014 guidelines was used to measure health workers knowledge on the umbilical cord clamping time. Data was analysed using Stata version 15.1 and Microsoft Office Excel 2007. Mother-infant socio-demographic characteristics by the study group was compared using Pearson chi square (p < 0.05; 95% CI). Health workers’ knowledge was analysed results presented in percentage.