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A clinical trial to look for benefits of delayed cord clamping against immediate cord clamping in resuscitation of preterm neonates.

Impact of initiating resuscitation with an intact cord vs immediate cord clamping on the need of positive pressure ventilation among non vigorous preterm neonates 34 weeks: An open label randomized control trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2024/02/062956
Enrollment
108
Registered
2024-02-21
Start date
Unknown
Completion date
Unknown
Last updated
2024-03-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: P84- Other problems with newborn

Interventions

Intervention1: Positive pressure ventilation: After birth of a non vigorous preterm baby cord will not be clamped immediately and gentle back rub and tactile stimulation will be given and after 45 sec

Sponsors

ABVIMS and Dr RML Hospital
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Preterm neonate 2. Parental informed consent obtained. 3. Gender – both

Exclusion criteria

Exclusion criteria: 1. Known severe congenital/chromosomal abnormality 2. Twin-to-twin transfusion syndrome 3. Twin anemia polycythemia syndrome 4. Monochorionic twins 5. Rh sensitization 6. Hydrops 7. Retropositive mother 8. Abruptio placentae, Total placenta praevia 9. Precipitate labor 10.Invasive placentations [increta, percreta] 11.Multifetal pregnancy 12.Refusal to consent

Design outcomes

Primary

MeasureTime frame
To study the impact of initiating resuscitation with an intact cord vs immediate cord clamping on the need of positive pressure ventilation among non vigorous preterm neonates (34 weeks).Timepoint: 1 minute of life

Secondary

MeasureTime frame
1. Cerebral blood flow changes 2. Apgar at 1 & 5 Minute 3. Time to spontaneous breathing (Seconds) 4. Temperature at 15 Minutes Of Life 5. Admission Temperature (C) 6. Need of inotropes in the first 24 hours 7. IVH grade 2 or more 8. Mortality within the first week of lifeTimepoint: 1. 24 hours of life 2. 1 & 5 Minute of life 3. 5 minute of life 4. 15 Minutes Of Life 5. Time of admission 6. 24 hours of life 7. Day 1,3,7,14 of life 8. Day 7 of life

Countries

India

Contacts

Public ContactDr Najeeb Ahmad

ABVIMS and Dr RML hospital

artimaria@gmail.com9818618586

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026