Health Condition 1: O82- Encounter for cesarean delivery without indication
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients, aged 18-45 years, scheduled to undergo a planned/elective caesarean section in AIIMS Bibinagar for a routine indication. 2. Singleton pregnancy 3. Gestational age of the fetus is more than 37 weeks 4. No e/o fetal growth restriction or uteroplacental insufficiency
Exclusion criteria
Exclusion criteria: 1. Patients refusing to give consent to participate in the study 2. Patients undergoing emergency caesarean section 3. Women with pregnancy carrying fetus with congenital anomaly 4. Patients with any cause of high-risk pregnancy, 5. Babies needing urgent neonatal resuscitation, or 6. Any other indication mandating immediate cord clamping, like placenta praevia, Rh incompatibility. 7. Neonates with any signs suggestive of distress, or not crying immediately after birth.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluate the effect of physiologic cord clamping versus delayed cord clamping at 1 minute on the amount of postpartum haemorrhage .Timepoint: At the time of delivery | — |
Secondary
| Measure | Time frame |
|---|---|
| Determine the impact of physiologic cord clamping versus delayed cord clamping at one minute on neonatal admissions due to any of the followings • Respiratory distress since birth (or) • Requiring positive pressure ventilation for more than 30 secondes (or) • Noenatal jaundice (or) • Noenatal polycythemia (or) • Any other procedure related events/ complications Timepoint: At the time of discharge from NICU;Duration of third stage of labour and total surgical time Timepoint: At the time of Caesarean Section;Serum ferritin levels of the babyTimepoint: 6 months of life | — |
Countries
India
Contacts
All India Institute of Medical Sciences, Bibinagar, Hyderabad