Influence of Umbilical Cord Clamping Time in the Newborn, Secondary Neonatal Morbidity and Iron Deposits in the Neonate
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anemia Neonatal
- Sponsor
- Pascual Gregori Roig
- Enrollment
- 195
- Locations
- 1
- Primary Endpoint
- haemoglobin
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
This study compares two umbilical cord clamping times; the early one, up to a minute (ECC) and the late or delayed one, when the cord stop beating (DCC). The additional blood volume delivered to the newborn from the placenta - placental transference - by delaying umbilical cord ligation, increases the contribution of neonatal iron with increased iron stores in the infant, without increasing neonatal morbidity.
Detailed Description
It is an intervention study without drugs administration with a longitudinal, prospective comparison and correlational design. Patients are recruited by simple random sampling to one of the two intervention groups: Group 1-ECC: Early clamping of the umbilical cord (before the first minute of life). Group 2-DCC: Delayed clamping of the umbilical cord (when it stops beating).
Investigators
Pascual Gregori Roig
Adjunct Pediatrician of University Hospital of La Plana (Spain)
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana
Eligibility Criteria
Inclusion Criteria
- •neonates with a gestational age of 35 to 42 weeks and born through normal vaginal delivery.
Exclusion Criteria
- •monochorionic multiples
- •incarcerated mothers
- •placenta previa
- •concern for abruptions
- •Rh sensitization
- •congenital anomalies
- •the obstetrician declining to perform the intervention
Outcomes
Primary Outcomes
haemoglobin
Time Frame: 28 days
haemoglobin level
haematocrit
Time Frame: 28 days
haematocrit level
Secondary Outcomes
- serum ferritin(28days)
- bilirubin(28days)