Health Condition 1: P00-P96- Certain conditions originating in the perinatal period
Conditions
Interventions
Intervention1: Resuscitation with intact cord: The neonate will be resuscitated with the umbilical cord intact. The cord will be clamped after the onset of spontaneous breathing or at least 180 second
Sponsors
Dr Deepak Chawla
Eligibility
Inclusion criteria
Inclusion criteria: Neonates born to mothers with any of the following and not breathing or crying at birth Preeclampsia or eclampsia Maternal hypertension Polyhydramnios or oligohydramnios Fetal macrosomia Intrauterine growth restriction No prenatal care Emergency cesarean delivery Forceps or vacuum assisted delivery Breech or other fetal malpresentation Category II or III fetal heart rate pattern Intrapartum bleeding not due to placental abruption Chorioamnionitis Shoulder dystocia Meconium-stained amniotic fluid Prolonged labor
Exclusion criteria
Exclusion criteria: Congenital malformation or chromosomal abnormalities in fetus diagnosed in the antenatal period Twin or higher-order pregnancy Abruption placenta or cord abnormalities with active bleeding Invasive placentation like accreta and percreta Anterior placenta previa (in case of cesarean section) Fetal hydrops Ruptured uterus
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Composite of moderate or severe HIE or neonatal death by 7 days of ageTimepoint: By 7 days of age | — |
Secondary
| Measure | Time frame |
|---|---|
| Post-operative wound infection (cesearan or episiotomy) before discharge in womenTimepoint: Before discharge from birth hospital;Postpartum hemorrhage needing interventionTimepoint: within 72 h of delivery;Proportion of neonates who die within 28 completed days of age due to any causeTimepoint: 28 days of age;Proportion of neonates who received chest compressions, epinephrine, or volume expanders during birth resuscitationTimepoint: At birth;Proportion of neonates who were given positive pressure ventilation during birth resuscitationTimepoint: At birth;Proprtion of neonates who qualified criteria for NICU admissionTimepoint: Till discharge from hospital | — |
Countries
India
Contacts
Public ContactDeepak Chawla
Government Medical College Hospital
Outcome results
None listed