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Influence of Umbilical Cord Clamping Time in the Newborn

Influence of Umbilical Cord Clamping Time in the Newborn, Secondary Neonatal Morbidity and Iron Deposits in the Neonate

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03624335
Enrollment
195
Registered
2018-08-10
Start date
2015-03-23
Completion date
2016-03-31
Last updated
2018-08-10

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

Conditions

Anemia Neonatal, Polycythemia Secondary, Hyperbilirubinemia, Neonatal

Keywords

Umbilical cord clamping, Anemia Neonatal, Iron metabolism disorders

Brief summary

This study compares two umbilical cord clamping times; the early one, up to a minute (ECC) and the late or delayed one, when the cord stop beating (DCC). The additional blood volume delivered to the newborn from the placenta - placental transference - by delaying umbilical cord ligation, increases the contribution of neonatal iron with increased iron stores in the infant, without increasing neonatal morbidity.

Detailed description

It is an intervention study without drugs administration with a longitudinal, prospective comparison and correlational design. Patients are recruited by simple random sampling to one of the two intervention groups: Group 1-ECC: Early clamping of the umbilical cord (before the first minute of life). Group 2-DCC: Delayed clamping of the umbilical cord (when it stops beating).

Interventions

PROCEDUREECC

Early clamping of the umbilical cord

PROCEDUREDCC

Delayed clamping of the umbilical cord

PROCEDUREBlood Test 6hours

Blood Test 6hours

PROCEDUREBlood Test 24hours

Blood Test 24hours

PROCEDUREBlood Test 48hours

Blood Test 48hours

PROCEDUREBlood Test 28days

Blood Test 28days

Sponsors

Hospital Universitario de la Plana
CollaboratorOTHER
FUNDACIÓN DAVALOS FLETCHER
CollaboratorUNKNOWN
Pascual Gregori Roig
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Intervention model description

Randomised controlled trials comparing early and late cord clamping

Eligibility

Sex/Gender
ALL
Age
35 Weeks to 42 Weeks
Healthy volunteers
Yes

Inclusion criteria

\- neonates with a gestational age of 35 to 42 weeks and born through normal vaginal delivery.

Exclusion criteria

* monochorionic multiples * incarcerated mothers * placenta previa * concern for abruptions * Rh sensitization * hydrops * congenital anomalies * the obstetrician declining to perform the intervention

Design outcomes

Primary

MeasureTime frameDescription
haemoglobin6hourshaemoglobin level
haematocrit6 hourshaematocrit level

Secondary

MeasureTime frameDescription
serum ferritin6hoursserum ferritin level
bilirubin6hoursbilirubin level

Countries

Spain

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 13, 2026