Cord Clamping Level Above or Below Mother's Perineum
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Women's Studies |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | January 2016 |
| Contact: | Pamela Berens, MD |
| Email: | Pamela.D.Berens@uth.tmc.edu |
| Phone: | (713) 500-6471 |
The purpose of this study is to determine if delayed cord clamping above the perineum has an
effect on neonatal hematocrit when compared to delayed cord clamping below the perineum in
pre-term spontaneous vaginal deliveries.
effect on neonatal hematocrit when compared to delayed cord clamping below the perineum in
pre-term spontaneous vaginal deliveries.
This study will compare the difference in neonatal hematocrit with delayed cord clamping
above vs. below the perineum, in infants who are born via pre-term spontaneous vaginal
deliveries that are vigorous at delivery. Delayed cord clamping below the perineum is an
accepted clinical practice in obstetrics and gynecology; however, delayed cord clamping
above the perineum has not yet been studied in preterm infants. Delayed cord clamping above
the perineum will provide the benefit of immediate skin-to-skin contact between the mother
and her newborn.
Patients will have delayed cord clamping performed for 60-75 seconds either below the
maternal perineum or while the infant is placed on the mother's abdomen. At approximately 24
hours after delivery (at the time of infant heel stick for routine, state-mandated screening
tests), a small additional amount of blood will be collected to evaluate newborn hematocrit.
above vs. below the perineum, in infants who are born via pre-term spontaneous vaginal
deliveries that are vigorous at delivery. Delayed cord clamping below the perineum is an
accepted clinical practice in obstetrics and gynecology; however, delayed cord clamping
above the perineum has not yet been studied in preterm infants. Delayed cord clamping above
the perineum will provide the benefit of immediate skin-to-skin contact between the mother
and her newborn.
Patients will have delayed cord clamping performed for 60-75 seconds either below the
maternal perineum or while the infant is placed on the mother's abdomen. At approximately 24
hours after delivery (at the time of infant heel stick for routine, state-mandated screening
tests), a small additional amount of blood will be collected to evaluate newborn hematocrit.
Inclusion Criteria:
- Singleton intrauterine pregnancies at least 30 weeks gestation but less than 37 weeks
gestation
Exclusion Criteria:
- Acute febrile illnesses or chronic medical problems such as hypertension, diabetes
mellitus, renal disease, medically-managed seizure disorders
- Pregnancy-related complications such as pre-eclampsia, intrauterine growth
restriction, chromosomal/anatomical abnormalities, and placental abruption
- Infants who are not anticipated to undergo spontaneous vaginal delivery
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