anaemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ¿Mother-baby pairs between 28 to <37 weeks gestational age. Gestational age will be confirmed by use of Last Menstrual Period dating or if available a first trimester ultrasound scan will be used. After delivery a Ballard score will be done at 24 hours to ascertain gestational age. ¿Spontaneous or provider initiated preterm births. ¿Women who provide Informed consent.
Exclusion criteria
Exclusion criteria: ¿Multiple gestations. ¿Neonates with congenital abnormalities(e.g. neural tube defects) incompatible with extra uterine life or requiring immediate resuscitation ¿Red cell isoimmunisation. ¿HIV and VDRL positive women. ¿Ante partum haemorrhage including placenta accrete or placenta abruption. ¿Need for neonatal resuscitation as determined during the antenatal period. ¿Tight nuchal cord necessitating early cord clamping and cutting. ¿Patients who are incapable of informed consent (severely ill), or unwilling to undergo randomization.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Determine and compare the mean haemoglobin and haematocrit values at 24 hours of life.;Determine the incidence rate of neonatal polycythemia at 24 hours of life.;3.Determine the incidence rate of neonatal jaundice within the first week of life. | — |
Secondary
| Measure | Time frame |
|---|---|
| Determine the incidence rate of neonatal anaemia within the first 24 hours of life.;primary post partum haemorrhage | — |
Countries
Kenya