Relationship Between Delayed Cord Clamping at Birth and Neonatal Bilirubin Levels in Parturients With a Prior Child Requiring Therapy for Neonatal Jaundice

The University of Texas System (UT)

Status

Suspended

Conditions

Hyperbilirubinemia, Neonatal

Jaundice, Neonatal

Treatments

Procedure: Early cord clamping

Procedure: Delayed cord clamping

Study type

Interventional

Funder types

Other

Identifiers

NCT03741803

HSC-MS-17-0803

Details and patient eligibility

About

The purpose of the study is to determine if neonates (who already have an increased risk of hyperbilirubinemia due to mother's history of having previous neonate who received phototherapy for hyperbilirubinemia) have higher bilirubin levels 24 hours after birth with delayed cord clamping.

Enrollment

100 estimated patients

Sex

Female

Ages

18 to 40 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

mothers delivering at 35 weeks or greater
mothers who have had at least 1 previous child that received phototherapy for hyperbilirubinemia
multiple gestations can be included unless the neonate does not meet criteria for delayed cord clamping as described below or due to concerns about safety of delayed cord clamping for timing of delivery of the 2nd twin (ie: 2nd twin requires immediate delivery intervention)

Exclusion criteria

Neonates who do not meet criteria for delayed cord clamping (any infant that any provider in the room felt needed evaluation by the neonatal transport team immediately so that the infant would be handed off for resuscitation. If the patient required delivery by cesarean section the delayed cord clamping protocol would be abandoned).