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The purpose of this study is to determine whether the umbilical cord milking in preterm infants born by cesarian section less than 34 weeks is more effective than delayed cord clamping to obtain higher levels of hemoglobin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Umbilical cord milking | Experimental | Once the preterm is born keep the baby from the mother's thighs. The obstetrician cord milking three times (2seconds/milking) taking the cord from the base 20cm respect towards the baby. Then clamp de cord. |
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| Delayed cord clamping | Active Comparator | Once the preterm is born the neonatologist keep the baby beside the mother at level of the operating table during 30 seconds without cord clamping. The baby is covered with a polythene bag and put a cap on his head. Then the obstetritian clamp the cord. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Umbilical cord milking | Procedure | Once the preterm is born keep the baby from the mother's thighs. The obstetrician cord milking three times (2seconds/milking) taking the cord from the base 20cm respect towards the baby. Then clamp de cord. |
| Measure | Description | Time Frame |
|---|---|---|
| Haemoglobin | g/dl | 1 hour and 24 hours at born |
| Measure | Description | Time Frame |
|---|---|---|
| Apgar Score | Basic score to mesure the newborn status. From 0 to 10. | 1 and 5 minutes |
| Arterial pressure | Mean of systolic and dyastolic arterial pressure in mm Hg |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Monica Domingo-Puiggros, MD | Corporacio Sanitaria Parc Tauli | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Corporacio Sanitaria Parc Tauli | Sabadell | Barcelona | 08208 | Spain |
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| ID | Term |
|---|---|
| D047928 | Premature Birth |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| ID | Term |
|---|---|
| D000087526 | Umbilical Cord Clamping |
| ID | Term |
|---|---|
| D036861 | Delivery, Obstetric |
| D013513 | Obstetric Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| Delayed cord clamping | Procedure | Once the preterm is born the neonatologist keep the baby beside the mother at level of the operating table during 30 seconds without cord clamping. The baby is covered with a polythene bag and put a cap on his head. Then the obstetritian clamp the cord. |
|
| 2, 6, 12, 24, 36 and 48 hours of life |
| Orine volume | Total volume of orine at 24 and 48 hours of life. Total ml. | 24 and 48 hours of life |
| Use of vasopresors drugs | To use or not to use the vasopresors drugs during the first 24 hours of life | 24 hours of life |
| Number of concentrate hematies transfusion | Total number of concentrate hematies transfusions during the hospital stay. The stay should vary depending of the gestacional age, from 2 weeks up to 3 months. | participants will be followed for the duration of hospital stay (from 2 weeks up to 3 months) |
| Intraventricular hemorrhage | Presence of intraventricular hemorrhage mesured by cerebral ultrasound Degree of the hemorrhage by Papile | participants will be followed for the duration of hospital stay (from 2 weeks up to 3 months) |
| Bronchopulmonary dysplasia | Presence of Bronchopulmonary dysplasia and the degree, mesured by Spanish classification (M. Sanchez Luna) | participants will be followed for the duration of hospital stay (from 2 weeks up to 3 months) |
| Total intensive care unit stay | Mesured in days. The stay should vary depending of the gestacional age, from 2 weeks up to 3 months. | Participants will be followed for the duration of hospital stay (from 2 weeks up to 3 months) |
| Hematocrit | In percentage | 1 hour and 24 hours at born |
| D000091642 | Urogenital Diseases |