Severing Nuchal Cord at the Time of Delivery.

Wolfson Medical Center (WMC)

Status: Completed

Conditions: Perinatal Outcome

Treatments: Procedure: severing cord

Study type: Interventional

Funder types: Other

Identifiers

NCT00345254

OS-SL-001

Details and patient eligibility

About

Umbilical cord often becomes encircled around portions of the fetus, usually the neck. The incidence ranges from 1 loop in 21% to 3 loops in 0.2%. In this study we wish to assessed the practice of severing the cord, which was encircled once around the neck of the fetus, after delivery of the anterior shoulder and prior to extraction of the body. The study and the control groups will include 30 women, each one. After diagnosis of cord around the neck during labor by ultrasound, the women will inter a randomization process. After delivery of the head, it will be cut intentionally in the study group and left intact in the control group. Neonatal outcome will be assessed.

Full description

Umbilical cord often becomes encircled around portions of the fetus, usually the neck. The incidence ranges from 1 loop in 21% to 3 loops in 0.2%. In this study we wish to assessed the practice of severing the cord, which was encircled once around the neck of the fetus, after delivery of the anterior shoulder and prior to extraction of the body. The study and the control groups will include 30 women, each one. After diagnosis of cord around the neck during labor by ultrasound, the women will inter a randomization process. After delivery of the head, it will be cut intentionally in the study group and left intact in the control group. Neonatal outcome will be assessed.

Enrollment: 60 patients

Sex: Female

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

single loop cord around the neck active labor spontaneous vaginal delivery

Exclusion criteria

instrumental delivery cesarean section false positive finding of cord around the neck multiple loop cord around the neck

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

severing cord

Experimental group

Description:

The cord was cut intentionally after delivery of the anterior shoulder and prior to extraction of the body.

Treatment:

Procedure: severing cord

Untouched cord

No Intervention group

Description:

The cord was untouched after delivery of the anterior shoulder and prior to extraction of the body.