Near term and term Infants at GA 35 - 40+6 weeks undergoing different umbilical cord management at birth. Intact Umbilical Cord Milking (I-UCM), Cut Umbilical Cord Milking (C-UCM), Delayed Cord Clamping (DCC), Hematocrit, Hyperbilirubinemia, Neonatal hypothermia, Neonatal polycythemia
Conditions
Interventions
Intact umbilical cord milking (I-UCM) refers to milking the umbilical cord while it remains intact and connected between the placenta and the newborn. Approximately 25 cm. of the umbilical cord will b
s umbilical stump.,Cut umbilical cord milking (C-UCM) refers to milking the umbilical cord after it has been cut from the placenta. Immediately after birth, the umbilical cord will be clamped and cut
s umbilicus. The isolated cord segment will then be milked toward the infant. After cord milking is completed, the cord will be clamped and cut again, leaving a stump approximately 2-3 cm. from the in
s umbilicus.,Delayed cord clamping (DCC) refers to delaying clamping of the umbilical cord for at least 30 seconds after birth before clamping and cutting the cord, leaving a cord stump approximately
s umbilicus.
Intact umbilical cord milking (I-UCM),Cut umbilical cord milking (C-UCM),Delayed cord clamping (DCC)
Sponsors
Bhumibol Adulyadej Hospital
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Pregnant women who provide written informed consent. 2. Singleton pregnancy.
Exclusion criteria
Exclusion criteria: 1. Pregnant women aged < 18 years 2. Umbilical cord length <25 cm or abnormal umbilical cord anatomy 3. Newborns requiring immediate neonatal resuscitation or respiratory support according to the 2025 American Heart Association and American Academy of Pediatrics Neonatal Resuscitation Guidelines. 4. Major congenital anomalies or prenatally diagnosed fetal structural abnormalities. 5. Obstetric emergencies requiring immediate delivery, including umbilical cord prolapse, placental abruption, placenta previa, preeclampsia, uterine rupture, severe maternal hemorrhage, or maternal shock. 6. Maternal infection with human immunodeficiency virus (HIV), syphilis, or hepatitis B virus (HBV). 7. Maternal Rh-negative blood type.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Neonatal hematocrit Within 48 hours after birth Venous hematocrit (%) measured from peripheral venous blood using an automated hematology analyzer. | — |
Secondary
| Measure | Time frame |
|---|---|
| Neonatal microbilirubin level Within 48 hours after birth Total serum bilirubin (mg/dL) measured by standard laboratory methods.,NICU admission During birth hospitalization Admission to the neonatal intensive care unit (Yes/No) obtained from medical records.,Neonatal complications During birth hospitalization Presence of neonatal complications such as respiratory distress, polycythemia, hypoglycemia, or jaundice requiring treatment, assessed from medical records.,Apgar score 1 minute and 5 minutes after birth Apgar score assessed at 1 and 5 minutes after birth.,Maternal blood loss Immediately after delivery Estimated blood loss (mL) recorded at delivery. | — |
Countries
Thailand
Contacts
Public ContactKullaya Suwantaweesuk
Bhumibol Adulyadej hospital
Outcome results
None listed