Health Condition 1: null- preterm neonates at birth
Conditions
Interventions
Intervention1: Delayed cord clamping: Step 1 (delayed cord clamping for 60 seconds from the birth of the baby): A birth attendant holds the baby as low as possible, but without causing cord traction,
Sponsors
PGIMER
Eligibility
Inclusion criteria
Inclusion criteria: 1)Imminently delivering mothers from 30 weeks to 33 6/7 weeks 2)Parents have given informed consent.
Exclusion criteria
Exclusion criteria: 1)Major congenital malformation incompatible for life diagnosed or suspected antenatally 2)Multiple pregnancy 3)Conditions where placental transfusion by delaying cord clamping could further compromise the just delivered neonate due to the additional blood volume being transfused such as antenatally diagnosed hydrops fetalis (irrespective of etiology or type of hydrops)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| composite outcome measure of all cause mortality and/or abnormal neurological examination at 40 weeks postnatal ageTimepoint: At 40 weeks postnatal age | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of following at 40 weeks postnatal age : 1. All cause mortality 2. Intraventricular hemorrhage 3. bronchopulmonary dysplasia 4. Necrotizing enterocolitis 5. Retinopathy of prematurity 6. Hematocrit, number of blood transfusions 7. Significant hyperbilirubinemia 8. Serum ferritin levels at discharge and 3 months postnatal ageTimepoint: 40 weeks postnatal age, 3 moths postnatal age | — |
Countries
India
Contacts
Public ContactDr Praveen Kumar
PGIMER, Chandigarh
Outcome results
None listed