Anemia Neonatal, Polycythemia Secondary, Hyperbilirubinemia, Neonatal
Conditions
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
Early clamping of the umbilical cord
Delayed clamping of the umbilical cord
Blood Test 6hours
Blood Test 24hours
Blood Test 48hours
Blood Test 28days
Sponsors
Study design
Intervention model description
Randomised controlled trials comparing early and late cord clamping
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| haemoglobin | 6hours | haemoglobin level |
| haematocrit | 6 hours | haematocrit level |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| serum ferritin | 6hours | serum ferritin level |
| bilirubin | 6hours | bilirubin level |
Countries
Spain