Milking the Umbilical Cord Versus Immediate Clamping in Pre-term Infants < 33 Weeks
| Status: | Terminated |
|---|---|
| Conditions: | Women's Studies |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 15 - 50 |
| Updated: | 12/13/2017 |
| Start Date: | September 2011 |
| End Date: | October 2013 |
Milking the Umbilical Cord Versus Immediate Clamping in Pre-term Infants <33 Weeks: A Randomized Controlled Trial
Anemia in preterm neonates is a significant problem encountered frequently in the neonatal
intensive care unit. Most preterm neonates born at less than 33 weeks gestation will require
at least one blood transfusion during their hospital course and many will require repeated
transfusions. Blood transfusions, albeit necessary, carry increased risk of viral infections
and transfusion reactions as well as increase the cost of healthcare. The umbilical cord and
placenta harbor up to 40% of blood available during fetal life. The current standard of care
is immediate umbilical cord clamping. The investigators are performing a randomized
controlled trial comparing immediate cord clamping to milking the umbilical cord prior to
clamping in neonate born preterm less than 33 weeks gestation. The investigators hypothesize
that milking the umbilical cord will demonstrate the same benefits as delayed cord clamping,
without delaying neonatal resuscitation.
intensive care unit. Most preterm neonates born at less than 33 weeks gestation will require
at least one blood transfusion during their hospital course and many will require repeated
transfusions. Blood transfusions, albeit necessary, carry increased risk of viral infections
and transfusion reactions as well as increase the cost of healthcare. The umbilical cord and
placenta harbor up to 40% of blood available during fetal life. The current standard of care
is immediate umbilical cord clamping. The investigators are performing a randomized
controlled trial comparing immediate cord clamping to milking the umbilical cord prior to
clamping in neonate born preterm less than 33 weeks gestation. The investigators hypothesize
that milking the umbilical cord will demonstrate the same benefits as delayed cord clamping,
without delaying neonatal resuscitation.
Inclusion Criteria:
- Preterm neonates delivered between 24 0/7 and 32 6/7
- Mother carrying a fetus between 24-32 6/7 weeks estimated gestational age
- Written parental consent
Exclusion Criteria:
- Multiple gestation pregnancies (twins or higher order multiples)
- Rh or other antibody sensitization
- Hydrops fetalis
- Known major congenital abnormality
- Suspected abruptio placentae
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