Effects of Umbilical Cord Non Severance at Birth and Delayed Cord Clamping on Iron Stores of the newborns Who Delivered By Elective Lower Segment Caesarean Sections: Double Blinded Randomized Control Trial
- Conditions
- Iron deficiency anaemia in newborns
Recruitment & Eligibility
- Status
- Pending
- Sex
- Not specified
- Target Recruitment
- 158
All mothers undergoing elective caesarian section at 37 – 42 weeks of gestation. (Category 4 caesarean sections) and their newborn babies
1.Babies that require positive pressure ventilation or any other advanced resuscitation soon after the birth
2.Meconium stained liquor
3.Babies with abnormal cardiotocographic changes/ abnormal Doppler flows
4.Major Congenital anomalies of the fetus
5.Multiple pregnancies
6.Rhesus negative mothers
7.Maternal Anaemia (iron deficiency and non-iron deficiency )
8.Mothers with haemoglobinopathies
9.Mothers with BMI < 18
10.Mothers who are strict vegetarians or who can’t tolerate oral iron supplements
11.Maternal diabetes (Gestational/ Pre-gestational)
12.Oligohydramnios (amniotic fluid index <6 )
13.Estimated fetal weight less than 2.5kg or more than 3.5kg
14.Maternal smoking (active or passive) or consume alcohol
15.Antepartum haemorrhage, diagnosed placenta previa or placental abruption
16.Patients with pre-eclampsia or any other obstetric or medical complications
17.Non cephalic presentations
18.Mothers with age less than 18
19.Mothers with psychiatric disorders that make them unable to give a valid consent
20.Mothers who are living in prisons, orphanages
21.Mothers who are positive for HIV or with unknown HIV status.
22.Mothers with previous babies who have had neonatal jaundice.
23.Mothers who are undergoing emergency caesarean section
24.Fetal hydrops which may be detected at antenatal ultrasound scan patients will be removed.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method eonatal Haemoglobin Concentration [24 to 48 hours after delivery]<br>
- Secondary Outcome Measures
Name Time Method