Severing Nuchal Cord at the Time of Delivery.

Not Applicable

Completed

• Conditions: Perinatal Outcome
• Interventions: Procedure: severing cord

• Registration Number: NCT00345254
• Lead Sponsor: Wolfson Medical Center

Brief Summary

Umbilical cord often becomes encircled around portions of the fetus, usually the neck. The incidence ranges from 1 loop in 21% to 3 loops in 0.2%. In this study we wish to assessed the practice of severing the cord, which was encircled once around the neck of the fetus, after delivery of the anterior shoulder and prior to extraction of the body. The study and the control groups will include 30 women, each one. After diagnosis of cord around the neck during labor by ultrasound, the women will inter a randomization process. After delivery of the head, it will be cut intentionally in the study group and left intact in the control group. Neonatal outcome will be assessed.

Detailed Description

Umbilical cord often becomes encircled around portions of the fetus, usually the neck. The incidence ranges from 1 loop in 21% to 3 loops in 0.2%. In this study we wish to assessed the practice of severing the cord, which was encircled once around the neck of the fetus, after delivery of the anterior shoulder and prior to extraction of the body. The study and the control groups will include 30 women, each one. After diagnosis of cord around the neck during labor by ultrasound, the women will inter a randomization process. After delivery of the head, it will be cut intentionally in the study group and left intact in the control group. Neonatal outcome will be assessed.

Study Timeline

• Study Start: 2003-09
• Primary Completion: 2006-01
• Study Completion: 2006-01
• Study First Submitted: 2006-06-26
• Study First Submitted QC: 2006-06-26
• Study First Posted: 2006-06-27
• Results First Submitted: 2016-11-11
• Results First Submitted QC: 2016-11-11
• Results First Posted: 2017-01-10
• Status Verified: 2017-04
• Last Update Submitted: 2017-04-05
• Last Update Posted: 2017-05-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 60

Inclusion Criteria

single loop cord around the neck active labor spontaneous vaginal delivery

Exclusion Criteria

instrumental delivery cesarean section false positive finding of cord around the neck multiple loop cord around the neck

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
severing cord	severing cord	The cord was cut intentionally after delivery of the anterior shoulder and prior to extraction of the body.

Primary Outcome Measures

Name	Time	Method
Umbilical Cord pH	immediately after delivery

Trial Locations

Locations (1)

Deliveery Ward, Edith Wolfson Medical Center,; 🇮🇱 Holon, Israel