Fabíola Figueiredo Nejar¹, Marina Ferreira Rea²* and Ana Maria Segall-Corrêa³

¹FFN - Nutritionist, PhD in Collective Health from the Department of Preventive and Social Medicine, Faculty of Medical Sciences - University of Campinas - Brazil
²MFR, MD, PhD, Researcher (Retired) Instituto de Saude SES/São Paulo, Brazil
³AMSC, MD, PhD, Professor of Epidemiology (Retired) University of Campinas, São Paulo, Brazil

*Corresponding Author: Marina Ferreira Rea, MFR, MD, PhD, Researcher (Retired) Instituto de Saude SES/São Paulo, Brazil.

Received: May 31, 2022; Published: June 24, 2022

Abstract

Iron deficiency anemia is a very common nutritional disorder among pregnant women and children. Although anemia is not identified as the primary cause of death, it is related to the impairment of physical and cognitive development in children and to weakness in the mechanism of immunity, thus increasing morbidity rates.  This article aims to discuss the time of umbilical cord clamping and anemia among children under six months of age, analyzing the possible relationships with socio-economic and demographic and biomedical conditions. This is a cohort, with a total study sample of 934 children, but we had losses during follow-up at 150 days of life, resulting in a sample of 592 children aged close to 5 months. Maintaining the parameters established by the study design, this number of children is sufficient to perform the proposed analyses. The variables considered in the study can be divided in variables that deal with socio-economic and demographic conditions, such as: age, schooling and maternal work, in addition to per capita family income. And biomedical variables such as: gestational age, type of pregnancy, birth weight, time of umbilical cord clamping, pre-gestational body mass index, maternal anemia, prenatal follow-up and breastfeeding. The development of the study followed the requirements of the committee standards in Pesquisa CEP/FCM/UNICAMP No. 198/2004).  Ducting as significant variables for risk of iron deficiency anemia for children under 5 months of age, gestational age less than 37 weeks, type of pregnancy, being the duo with the highest risk for the disease and birth weight less than 2500grams. The clamping time of the cord was not related to anemia because, in this study, the clamping of the cord of the delivered deliveries was early in 91.6% of the cases, presenting an average of 18.5seconds.  In this study, the mean time of umbilical cord clamping was very low and even though no association was observed with anemia among the infants studied, there is already evidence that guides changes in this practice.

Descriptors

• Anemia, iron-deficiency
• Delivery of care
• Newborn
• Epidemiology
• Cord umbilical clamping

Keywords: Iron Deficiency Anemia; Children; Umbilical Cord Clamping

References

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Citation

Citation: Marina Ferreira Rea., et al. “Iron Deficiency Anemia in Children Younger than Six Months and Time of Umbilical Cord Clamping. Anemia in 6 Months Old Infants and Delayed Clamping of the Umbilical Cord ". Acta Scientific Nutritional Health 6.7 (2022): 73-78.

Copyright

Copyright: © 2022 Marina Ferreira Rea., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.