Comparing Delayed Cord Clamping and Umbilical Cord Milking During Elective Cesarean Section for the Neonatal Outcome

Not Applicable

Completed

• Conditions: Umbilical Cord Milking
• Interventions: Procedure: Delayed cord clamping for 30 seconds

• Registration Number: NCT05951348
• Lead Sponsor: Alexandria University

Brief Summary

the study is conducted on the different actions on umbilical cord clamping including immediate cord clamping (ICC) , delayed cord clamping (DCC) for 30 seconds and umbilical cord milking (UCM) for 10-15 seconds in females that are delivered by elective cesarean section , to assess the neonatal outcomes including Hemoglobin and Hematocrit levels after birth in the newborn and the bilirubin level after 72 hrs

Detailed Description

the benefit of umbilical cord milking for 10-15 seconds maneuver in cesarean section, that short time can improve the hemoglobin level and prevent anemia in the newborn with improvement of the iron stores for months in infancy without affection on the bilirubin level and the need for phototherapy. This is significant because of the rising rate of cesarean section all over the world make more children are liable for anemia, and by this simple technique it can be prevented.

Study Timeline

• Study Start: 2021-11-11
• Primary Completion: 2022-06-20
• Study Completion: 2022-06-20
• Status Verified: 2023-05
• Study First Submitted: 2023-07-06
• Study First Submitted QC: 2023-07-16
• Study First Posted: 2023-07-19
• Last Update Submitted: 2023-07-20
• Last Update Posted: 2023-07-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 162

Inclusion Criteria

• mother's age (20-40) years.
• pregnancy with a healthy singleton
• gestational age of 38-41 0/7 weeks
• uncomplicated pregnancy

Exclusion Criteria

• Any medical or obstetrical complications like hypertension, pre-eclampsia, diabetes any special habits like smoking, and substance abuse
• Rh-negative mothers. The fetal exclusion criteria
• fetus with evidence of intrauterine growth restriction
• infant with serious congenital anomalies.

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Umbilical cord milking	Delayed cord clamping for 30 seconds	this arm where the patient receive stripping of the umbilical cord in the direction of the fetus 10 times in a time frame 10-15 seconds after delivery of the fetus
Delayed cord clamping	Delayed cord clamping for 30 seconds	this arm where the patient receive a delay in cord clamping for 30 seconds after delivery of the fetus

Primary Outcome Measures

Name	Time	Method
hemoglobin level	immediately after the intervention	a blood sample is taken from the umbilical cord of the neonate

Secondary Outcome Measures

Name	Time	Method
bilirubin level	72 hours after delivery	trans-cutaneous measurement of the bilirubin level

Trial Locations

Locations (1)

Tamer Ahmed Hosny; 🇪🇬 Alexandria, Egypt