Health Condition 1: P073- Preterm [premature] newborn [other]
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Moderate to late-preterm neonates (32-36+6) delivered at Safdarjung Hospital and not requiring any resuscitation at birth.
Exclusion criteria
Exclusion criteria: 1. Major congenital malformations 2. Need of resuscitation at birth 3. Multiple gestation 4. Significant maternal/intrapartum complications (e.g., antepartum hemorrhage, preeclampsia, chorioamnionitis, fetal distress, cord prolapse) 5.Cord accidents (tight nuchal cord, knots) 6. Non-availability of research team to record the findings
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Superior vena cava (SVC) Flow measured using functional echocardiographyTimepoint: 12 hours of life | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Echocardiographic parameters of systemic blood flow like Left ventricular output (LVO), Superior mesenteric artery (SMA) Resistive Index (RI) and Anterior Cerebral Artery (ACA) RI using functional echocardiography within 12-24 hours of life between the study groups.Timepoint: 12-24 hours of life;2. Preductal Spo2, heart rate, PI and PVI at 1, 3, 5 and 10 minutes of life in the three groups.Timepoint: Till 10 minutes;3. To compare the need of oxygen support, surfactant, phototherapy and exchange transfusion between the study groups.Timepoint: Till Nicu stay;4. To compare the incidence of intraventricular hemorrhage (IVH), necrotizing enterocolitis (NEC), Sepsis, Patent Ductus Arteriosus (PDA), Retinopathy of Prematurity (ROP), early neonatal death (END), in-hospital mortality, and need for blood transfusion during the NICU stay across the study groups.Timepoint: Till Nicu stay | — |
Countries
India