Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: delayed umbilical cord clamping: In the DCC group, after each infant is delivered and placed on the mother’s perineum in a vaginal delivery (VD) or on the thigh in a cesarean section (C
Sponsors
Dr Anitha Haribalakrishna
Eligibility
Inclusion criteria
Inclusion criteria: All preterm multiple gestation deliveries at our institute.
Exclusion criteria
Exclusion criteria: Non vigorous infant- if an infant has depressed respiration or depressed muscle tone or heart rate Prenatally diagnosed major congenital anomaly in any infants, Twin-to-twin transfusion syndrome or twin anemic-polycythemic sequence, Discordant twins (a weight di?erence of >20%), Intrauterine fetal death, Hydrops In utero transfusion/laser/amnioreduction Known cases of triplets reduced to twins Antepartum or intrapartum hemorrhage Active maternal bleeding from abruption/placental disruption at time of delivery, cord tear/avulsion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| cord clamping protocol adherence rate in preterm multiple gestationTimepoint: with in first 1 minute of life | — |
Secondary
| Measure | Time frame |
|---|---|
| mortalityTimepoint: before discharge;severe Intra ventricular haemorrhageTimepoint: before discharge;periventricular leukomalaciaTimepoint: at discharge;respiratory distress syndromeTimepoint: at birth till first hour of life;necrotizing enterocolitisTimepoint: from beginning of 2nd week of life till discharge;stage 3 and or retinopathy of prematurity requiring treatmentTimepoint: at discharge;duration of mechanical ventilation in daysTimepoint: till discharge;bronchopulmonary dysplasiaTimepoint: before discharge;hemodynamically significant patent ductus arteriosus requiring treatmentTimepoint: discharge;early onset sepsisTimepoint: first 3 days of life;late onset sepsisTimepoint: after 72 hours of life till discharge;number of blood transfusions requiredTimepoint: till discharge;need of inotropesTimepoint: till discharge;highest total bilirubinTimepoint: till discharge;duration of phototherapyTimepoint: till discharge;duration of hospital stayTimepoint: till discharge;hematocrit at 6 hours of lifeTimepoint: 6 hours of life;hematocrit at 6 weeks of lifeTimepoint: 6 weeks | — |
Countries
India
Contacts
Public ContactAnitha Haribalakrishna
Seth GS Medical College and KEM Hospital
Outcome results
None listed