Health Condition 1: P051- Newborn small for gestational age
Conditions
Interventions
Intervention1: Delayed cord clamping: After delivery, cord clamping will be done after 60 seconds
Control Intervention1: Early cord clamping: After delivery, cord clamping will be done within 30 secon
Sponsors
All India Institute of Medical Sciences Rishikesh India
Primary Investigator
Eligibility
Inclusion criteria
Inclusion criteria: All antenatally diagnosed intra-uterine growth restricted neonates (based on ultrasonographically determined fetal weight below 10th percentile for gestational age) of gestational age 28 weeks or more born in AIIMS, Rishikesh during the study period will be eligible for inclusion.
Exclusion criteria
Exclusion criteria: 1.Neonates born to mother with: a.Hemodynamic instability b.Placental previa/abruption c.Postpartum hemorrhage d.Multiple gestation e.Rh- negative blood group. 2.Neonate requiring resuscitation 3.Major congenital malformation 4.Fetal Hydrops 5.Failure to give consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Superior vena cava blood flow and hematocrit value in intrauterine growth restricted neonates.Timepoint: 12-24 hours of life | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Superior mesenteric blood flow at 12-24 hours of life 2.Morbidity during hospital stay i)Intraventricular hemorrhage ii)Symptomatic polycythemia iii)Respiratory distress requiring respiratory support iv)Unconjugated hyperbilirubinemia v)Feeding intolerance vi)Confirmed NEC (Modified Bell Stage II and beyond) 3.Duration of hospital stay 4.Outcome- discharge/death 5.Serum Ferritin at 3 month of age 6.BERA at 3 month of age 7.Denver II score at 3 months to 9 months follow up Timepoint: 12 hours to 9 months for different parameters as mentioned above | — |
Countries
India
Contacts
Public ContactSriparna Basu
All India Institute of Medical Sciences, Rishikesh
Outcome results
None listed