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Umbilical Cord Milking in Non-Vigorous Infants Developmental Followup (MINVIFU)

Not Applicable
Completed
Conditions
Neurodevelopmental Abnormality
Registration Number
NCT03621943
Lead Sponsor
Sharp HealthCare
Brief Summary

A sub-study to evaluate longer-term developmental outcomes in non-vigorous term and near-term newborns who receive umbilical cord milking in comparison to those who undergo early cord clamping at delivery.

Detailed Description

This sub-study investigates the potential difference in neurodevelopmental outcomes during early childhood between newborns who undergo umbilical cord milking and those who experience early cord clamping at birth. The developmental progress of participants is evaluated using the Ages and Stages Questionnaire-3 which measures five developmental areas: communication, problem-solving, fine motor skills, gross motor skills, and personal-social behavior. Additionally, the Modified Checklist for Autism in Toddlers is employed as a secondary assessment. The recruitment of participants is conducted through the primary study Umbilical Cord Milking in Nonvigorous Infants trial (NCT03631940) with the method of umbilical cord management for each newborn being dictated by the randomized treatment allocation of the primary study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1207
Inclusion Criteria
  • Enrolled in the primary trial NCT:03631940 and parental written consent to participate in developmental follow-up through 2 years of age was obtained.
  • Enrolled in the primary trial NCT:03631940 and did not survive to 2 years.
Exclusion Criteria
  • Enrolled in the primary trial NCT:03631940 but parent/guardian declined consent to developmental follow-up participation.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Total and Domain Scores on the Ages and Stages Questionnaire, Third Edition.22 to 26 months

Neurodevelopmental Outcome at 2 Years of Age defined as overall and domain scores on the Ages and Stages, third edition. Questionnaire. Minimum score of 0 and maximum score of 60 per domain. Scores from 5 subscales are summed to obtain a total score. 5 domains assessed include communication, gross motor, fine motor, problem solving, personal social with a total minimum score of 0 and maximum score of 300. Higher scores indicate a lower risk of developmental delays or conditions

Secondary Outcome Measures
NameTimeMethod
Score Ranges on the Modified Checklist for Autism in Toddlers Questionnaire22-26 months

Modified Checklist for Autism in Toddlers. Minimum score of 0 and maximum score of 20. Higher scores indicate higher risk for autism spectrum disorder. Total scores of 0 to 2 indicates a low risk of autism spectrum disorder. Total scores of 3 to 7 indicates a moderate risk of autism spectrum disorder. Total scores of 8 to 20 indicate high risk of autism spectrum disorder.

Trial Locations

Locations (10)

University of California, Davis

🇺🇸

Davis, California, United States

Loma Linda Medical Center

🇺🇸

Loma Linda, California, United States

Sharp Grossmont Hospital

🇺🇸

San Diego, California, United States

Sharp Mary Birch Hospital for Women and Newborns

🇺🇸

San Diego, California, United States

George Washington University

🇺🇸

Washington, District of Columbia, United States

Providence St. Vincent Medical Center

🇺🇸

Portland, Oregon, United States

University of Utah/IMH

🇺🇸

Salt Lake City, Utah, United States

University of Alberta

🇨🇦

Edmonton, Alberta, Canada

Dalhousie University

🇨🇦

Dalhousie, New Brunswick, Canada

Poznan University of Medical Science

🇵🇱

Poznań, Poland

University of California, Davis
🇺🇸Davis, California, United States

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