Delayed Umbilical Cord Clamping Versus Cord Milking in Preterm Neonate

Status:	Completed
Conditions:	Women's Studies
Therapuetic Areas:	Reproductive
Healthy:	No
Age Range:	Any
Updated:	2/4/2013
Start Date:	December 2011
End Date:	June 2013
Contact:	Julia Timofeev, MD
Email:	julia.timofeev@medstar.net
Phone:	202-801-0686

Delayed Umbilical Cord Clamping Versus Cord Milking in Preterm Neonate - a Randomized, Controlled Trial

This study is being done to evaluate if delaying cord clamping or milking the umbilical cord
of the preterm infant has health benefits for the baby. Timing of clamping of the cord
varies among doctors, but there is information that shows that delaying clamping of the
umbilical cord in premature infants may reduce the rate of the baby needing a blood
transfusion, decrease the risk of infection and bleeding in the head.

Inclusion Criteria:

- Singleton or multiples pregnancies in patients admitted for medically indicated
delivery or in advanced spontaneous preterm labor with imminent delivery at 24 0/7 -
28 6/7 weeks gestation

- Women ages 18 and older

Exclusion Criteria:

- Planned vaginal breech delivery

- Major fetal abnormalities (defined as those that are lethal or require prenatal or
postnatal surgery)

- Fetal death in utero

- Red cell isoimmunization

- Patients who are incapable of informed consent (unconscious, severely ill, mentally
handicapped), or are unwilling to undergo randomization

- Placenta previa or other known abnormal placentation (e.g. placenta accreta)

We found this trial at

sites

MedStar Washington Hospital Center

110 Irving St NW
Washington, District of Columbia 20010

(202) 877-7000