None listed
Conditions
Brief summary
Preterm birth is a major cause of death and a significant cause of long-term loss of human potential all around the world. Complications of preterm birth are the single largest direct cause of neonatal deaths and the second most common cause of under-5 deaths after pneumonia..All newborns are generally fragile and more so premature babies, making them in continuous need for special care . Advances in medical technology have contributed to smaller infants surviving past the neonatal period. This survival,however, is fraught by many complications including respiratory distress syndrome , neonatal indirect hyperbilirubinemia , sepsis, apnea and anemia of prematurity .Our study hypotheses that delayed clamping in preterm labor allows time for transfusion of placental blood to the newborn infant. This can provide the neonate with an additional blood volume,decrease need for blood transfusion as reported by American congress of obstetricians and gynecologists thereby protecting it from anemia.
Interventions
Arm 1 will be subjected after fetal body expulsion to immediate(first 5 seconds) cord clamping between two clamps without cord milking in neonates delivered prematurely at 30 to 34 weeks gestation. by obstetrician attending the labour, and recorded in the patient file.
duration of intervention <5 seconds.
Sponsors
Alzhraa university hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
19 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
women who delivered prematurely at 30 - 34 weeks gestation, singleton, delivered either normal vaginal or cesarean section.
Exclusion criteria
Maternal medical disorder ( diabetes , hypertension ) Fetal congenital anomalies Meconium stained amniotic fluid Placenta previa , abruption
Outcome results
None listed