Preterm infants Twin pregnancy Umbilical cord milking Umbilical Cord Milking Preterm infants Twin Cesarean section
Conditions
Interventions
In the UCM group,
after each infants is delivered and placed on the mother'
s thigh,
the umbilical cord will be milk for 4 times,
suction and stimulating. In infants who appear non-
the cord wii be clamped and cut at any time.,In the ICC group,
the umbilical cord will be clamped and cut immediately.
Experimental Procedure/Surgery,Experimental Procedure/Surgery
umbilical cord milking (UCM),Immediate cord clamping (ICC)
Sponsors
Faculty of Medicine Ramathibodi Hospital
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Pregnant woman with twin gestations who deliver preterm infants at gestational age of 28-36+6 weeks gestation by cesarean section.
Exclusion criteria
Exclusion criteria: Prenatally diagnosed major congenital anomaly in any infants, twin to twin transfusion syndrome (TTTS), twin anemic polycythemic sequence (TAPS), discordant twin (weight differance more than 20%), hydrops fetalis, antepartum or intrapartum hemorrhage sush as placetal abruption or uterine rupture.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Superior vena cava (SVC) flow Within 6-24 hours after birth Echocardiography | — |
Secondary
| Measure | Time frame |
|---|---|
| Infants' hematocrit level at birth On admission after birth (within 6 hours) Central hematocrit (%),Infants' hematocrit level after birth At 6-8 weeks after birth Central hematocrit (%),Infants' serum ferritin after birth At 6-8 weeks after birth Serum ferritin,Other maternal and infants' relevance clinical outcomes During hospital admission Chart review | — |
Contacts
Public ContactMuthita Meesang
Ramathibodi hospital
Outcome results
None listed