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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| severing cord | Experimental | The cord was cut intentionally after delivery of the anterior shoulder and prior to extraction of the body. |
|
| Untouched cord | No Intervention | The cord was untouched after delivery of the anterior shoulder and prior to extraction of the body. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| severing cord | Procedure | The cord was cut intentionally after delivery of the anterior shoulder and prior to extraction of the body. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Umbilical Cord pH | immediately after delivery |
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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
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| Name | Affiliation | Role |
|---|---|---|
| Oscar Sadan, MD | E Wolfson Medical Center, Holon, Israel | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Deliveery Ward, Edith Wolfson Medical Center, | Holon | 56100 | Israel |
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| ID | Title | Description |
|---|---|---|
| FG000 | Severing Cord | The cord was cut intentionally after delivery of the anterior shoulder and prior to extraction of the body. severing cord: The cord was cut intentionally after delivery of the anterior shoulder and prior to extraction of the body. |
| FG001 | Untouched Cord | The cord was untouched after delivery of the anterior shoulder and prior to extraction of the body. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Severing Cord | The cord was cut intentionally after delivery of the anterior shoulder and prior to extraction of the body. severing cord: The cord was cut intentionally after delivery of the anterior shoulder and prior to extraction of the body. |
| BG001 | Untouched Cord |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Umbilical Cord pH | Posted | Mean | Standard Deviation | pH | immediately after delivery |
|
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Severing Cord | The cord was cut intentionally after delivery of the anterior shoulder and prior to extraction of the body. severing cord: The cord was cut intentionally after delivery of the anterior shoulder and prior to extraction of the body. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Samuel Lurie | Edith Wolf son Medical Cemter | +972-35028329 | drslurie@hotmail.com |
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The cord was untouched after delivery of the anterior shoulder and prior to extraction of the body. |
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Participants |
|
|
|
| 0 |
| 30 |
| 0 |
| 30 |
| EG001 | Untouched Cord | The cord was untouched after delivery of the anterior shoulder and prior to extraction of the body. | 0 | 30 | 0 | 30 |
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