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临床试验/NCT01753843
NCT01753843已完成不适用

A Randomised Controlled Trial to Evaluate the Role of Brief Delay in Cord Clamping in Preterm Neonates (34-36weeks) on Short Term Neurodevelopmental Outcome

Lady Hardinge Medical College2 个研究点 分布在 1 个国家目标入组 120 人开始时间: 2012年7月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
120
试验地点
2
主要终点
short term neurobehavioral outcome

研究概览

简要总结

RESEARCH HYPOTHESIS Brief delay(>30 sec to <60 sec ) in cord clamping as compared to early cord clamping (< 20 sec) leads to a better short term neurobehavioural outcome in preterm (34-36 wks) neonates when assessed by neurobehavioral assessment of preterm infants (n.a.p.i.) at 37 weeks of post conceptional age

详细描述

Delayed cord clamping (DCC) : Well described phenomenon in term infants .

  • The optimal timing of clamping of umbilical cord in preterm infants : A subject of debate.
  • Even a brief delay in cord clamping leads to an additional transfer of iron amounting to 40-50 mg/kg which may prevent iron deficiency.¹
  • This low cost intervention can have significant public health importance in resource constrained settings.
  • The effect of this intervention on neurobehaviour of preterm neonates has not been assessed.
  • This aspect has been identified by WHO and Cochrane as a potentially researchable area

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Diagnostic
盲法
None

入排标准

性别
All
接受健康志愿者

入选标准

  • All preterm deliveries -infants born at 34 weeks 0 days to 36 weeks +6 days gestational age as estimated by last menstrual period or early ultrasound scan.
  • Infants delivered vaginally or by caesarean section in cephalic presentation
  • Singleton pregnancy
  • Parental consent

排除标准

  • Fetus with gross congenital anomaly
  • Fetus with hydrops
  • Rh negative pregnancy

结局指标

主要结局

short term neurobehavioral outcome

时间窗: at 37 weeks post conceptional age

using N.A.P.I (neurobehavioural assessment of preterm infant)

次要结局

  • measuring cord hematocrit(at birth)

研究者

申办方类型
Other Gov
责任方
Principal Investigator
主要研究者

DR. VIKRAM DATTA

Principal Investigator

Lady Hardinge Medical College

研究点 (2)

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