Iron deficiency anaemia in newborns
Conditions
Interventions
In both groups, after the delivery of the baby, the placenta will be delivered manually by traction after delivering the baby. Cord clamping and cutting will be different in the two groups after this
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: All mothers undergoing elective caesarian section at 37 – 42 weeks of gestation. (Category 4 caesarean sections) and their newborn babies
Exclusion criteria
Exclusion criteria: 1. Babies that require positive pressure ventilation or any other advanced resuscitation soon after the birth 2. Meconium stained liquor 3. Babies with abnormal cardiotocographic changes/ abnormal Doppler flows 4. Major Congenital anomalies of the fetus 5. Multiple pregnancies 6. Rhesus negative mothers 7. Maternal Anaemia (iron deficiency and non-iron deficiency ) 8. Mothers with haemoglobinopathies 9. Mothers with BMI < 18 10. Mothers who are strict vegetarians or who can’t tolerate oral iron supplements 11. Maternal diabetes (Gestational/ Pre-gestational) 12. Oligohydramnios (amniotic fluid index <6 ) 13. Estimated fetal weight less than 2.5kg or more than 3.5kg 14. Maternal smoking (active or passive) or consume alcohol 15. Antepartum haemorrhage, diagnosed placenta previa or placental abruption 16. Patients with pre-eclampsia or any other obstetric or medical complications 17. Non cephalic presentations 18. Mothers with age less than 18 19. Mothers with psychiatric disorders that make them unable to give a valid consent 20. Mothers who are living in prisons, orphanages 21. Mothers who are positive for HIV or with unknown HIV status. 22. Mothers with previous babies who have had neonatal jaundice. 23. Mothers who are undergoing emergency caesarean section 24. Fetal hydrops which may be detected at antenatal ultrasound scan patients will be removed.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Neonatal Haemoglobin Concentration [24 to 48 hours after delivery] | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To compare the difference between preoperative and postoperative haemoglobin values in mothers of two groups 2. To compare Mean Birth weight [At the time of delivery] between the two groups. 3. To compare Duration of surgery [From the start of surgery (skin incision) till the end of surgery (skin suturing)] between the two groups. 4. To compare Blood loss (estimated blood loss using visual assessment) during the surgery between the two groups. 5. To compare primary and secondary postpartum hemorrhage rates and rates of additional uterotonics use between the two groups 6. To compare postpartum endometritis and postpartum sepsis rates between the two groups 7. To compare Apgar score at 5 minutes after delivery between the two groups 8. To compare direct serum bilirubin values of newborns 24 hours after delivery between the two groups 9. To compare serum ferritin values of newborns at 6 weeks postpartum between two groups 10. To compare rates of transient tachypnoea of newborn between the two groups 11. To compare rates of infantile respiratory distress syndrome of newborn between the two groups 12. To compare rates of neonatal jaundice between the two groups 13. To compare NICU and PBU Admission rate between the two groups. 14. To compare requirement of phototherapy and exchange transfusion between the two groups. 15. To compare rates of respiratory, diarrheal and febrile illness which need inward treatment between infants belonging to the two groups 16. To compare ages and stages development scores (ASQ-3) at 9 months of age between the two groups. 17. To compare infant weight at 9 months of age between the two groups [1.between 24 hours before surgery and 24 hours after surgery 2. At the time of delivery 5. From time of delivery till 10 days after delivery 6. From time of delivery till 6 weeks after delivery 10.From time of delivery till 24 hours after delivery 11. From time of delivery till 24 hours after delive | — |
Countries
Sri Lanka
Contacts
Public ContactAmila Janalal Rubasinghe
Registrar
Outcome results
None listed