Umbilical Cord Milking vs Delayed Cord Clamping in Preterm Infants Born by Cesarean Section

Corporacion Parc Tauli

Status: Completed

Conditions: Milking; Delayed Clamping; Premature Infant; Umbilical Cord

Treatments: Procedure: Umbilical cord milking; Procedure: Delayed cord clamping

Study type: Interventional

Funder types: Other

Identifiers

NCT02187510

CSPTNeonat2014_01

Details and patient eligibility

About

The purpose of this study is to determine whether the umbilical cord milking in preterm infants born by cesarian section less than 34 weeks is more effective than delayed cord clamping to obtain higher levels of hemoglobin.

Enrollment: 40 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Preterm infants less than 34 weeks' gestation born by cesarean section

Exclusion criteria

• Inability to obtain informed consent from the mother state
• Monochorionic-monoamniotic twin gestation
• Placenta abruption
• Uterine rupture
• Transplacental cesarean
• Hydrops fetalis

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Umbilical cord milking

Experimental group

Description:

Once the preterm is born keep the baby from the mother's thighs. The obstetrician cord milking three times (2seconds/milking) taking the cord from the base 20cm respect towards the baby. Then clamp de cord.

Treatment:

Procedure: Umbilical cord milking

Delayed cord clamping

Active Comparator group

Description:

Once the preterm is born the neonatologist keep the baby beside the mother at level of the operating table during 30 seconds without cord clamping. The baby is covered with a polythene bag and put a cap on his head. Then the obstetritian clamp the cord.

Treatment:

Procedure: Delayed cord clamping