Comparing Delayed Cord Clamping and Umbilical Cord Milking During Elective Cesarean Section for the Neonatal Outcome

Alexandria University

Status: Completed

Conditions: Umbilical Cord Milking

Treatments: Procedure: Delayed cord clamping for 30 seconds

Study type: Interventional

Funder types: Other

Identifiers

NCT05951348

0106748

Details and patient eligibility

About

the study is conducted on the different actions on umbilical cord clamping including immediate cord clamping (ICC) , delayed cord clamping (DCC) for 30 seconds and umbilical cord milking (UCM) for 10-15 seconds in females that are delivered by elective cesarean section , to assess the neonatal outcomes including Hemoglobin and Hematocrit levels after birth in the newborn and the bilirubin level after 72 hrs

Full description

the benefit of umbilical cord milking for 10-15 seconds maneuver in cesarean section, that short time can improve the hemoglobin level and prevent anemia in the newborn with improvement of the iron stores for months in infancy without affection on the bilirubin level and the need for phototherapy. This is significant because of the rising rate of cesarean section all over the world make more children are liable for anemia, and by this simple technique it can be prevented.

Enrollment: 162 patients

Sex: Female

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• mother's age (20-40) years.
• pregnancy with a healthy singleton
• gestational age of 38-41 0/7 weeks
• uncomplicated pregnancy

Exclusion Criteria

• Any medical or obstetrical complications like hypertension, pre-eclampsia, diabetes any special habits like smoking, and substance abuse
• Rh-negative mothers. The fetal exclusion criteria
• fetus with evidence of intrauterine growth restriction
• infant with serious congenital anomalies.

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

---

162 participants in 3 patient groups

Immediate cord clamping

No Intervention group

Description:

this arm where the patient didn't receive any special maneuver and immediate cord clamping after delivery of the fetus is done

Delayed cord clamping

Experimental group

Description:

this arm where the patient receive a delay in cord clamping for 30 seconds after delivery of the fetus

Treatment:

Procedure: Delayed cord clamping for 30 seconds

Umbilical cord milking

Experimental group

Description:

this arm where the patient receive stripping of the umbilical cord in the direction of the fetus 10 times in a time frame 10-15 seconds after delivery of the fetus

Treatment:

Procedure: Delayed cord clamping for 30 seconds