Aboriginal Cord Delayed Clamping Study: investigating delayed cord clamping versus immediate cord clamping for term newborn Aboriginal infants from remote Aboriginal communities.

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Anaemia is prevalent among Aboriginal infants under 12 months old. Delayed cord clamping is a simple way to provide extra blood to the newborn baby. Strong evidence from randomized controlled trials has shown its benefits for neonatal health and reducing anaemia in early infancy. The beneficial effects on Aboriginal infants and beyond the first 6 months of life are still unknown. It is clinically important to determine if this simple intervention at birth will impact greatly the health of remote Aboriginal infants with high risk of anaemia due to poor access to nutrition later in infancy. This RCT will enroll 72 Aboriginal pregnant women from remote aboriginal communities who will give birth at 36-42 weeks gestation by uncomplicated NVD or CS. They will be randomly assigned to either receive the interventional delayed cord clamping until the cord stops pulsating or up to 3 minutes with baby held below level of placenta or vaginal introitus or the standard care immediate cord clamping soon after birth under 1 minute. The primary research question is whether haemoglobin level at discharge is greatest in babies after delayed cord clamping.

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