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| Name | Class |
|---|---|
| Armed Forces Hospitals, Southern Region, Saudi Arabia | OTHER_GOV |
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Comparing the beneficial effect of cord milking versus deferred cord clamping in preterm neonates. A randomized controlled trial
Placental transfusion either by deferred cord clamping or umbilical cord milking became standard care and recommended management especially in preterm deliveries.1 In average, about 80 ml of blood was found to be transferred to the neoborn by one minute after birth.2 This additional blood can afford extra iron and blood volume giving the benefit of less iron deficiency anemia during the first year of life, less need for blood transfusion, less need for vasopressors and less intraventricular hemorrhage (IVH) by 50%.3 Placental transfusion with different techniques proved safety with no significant risks regarding postpartum hemorrhage, polycythemia, jaundice, Apgar score or admission rates.4 Our study aims to compare delayed cord clamping with umbilical cord milking as the best way for placental transfusion for preterm neonates.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| delayed cord clamping | Experimental | Keep the baby at the level or below the placenta for 45-60 seconds before clamping the cord. Keep the room temperature at 23-25ËšC and wrap the baby if possible |
|
| cord milking | Active Comparator | Do 4-5 strips from proximal (maternal) end of the cord (as proximal as possible) towards the baby abdomen with thumb and forefinger Wait for 2 seconds between each stripping Keep the baby at the level of placenta |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| delayed cord clamping | Procedure | delay of cord clamping for 60 seconds |
| |
| Measure | Description | Time Frame |
|---|---|---|
| hematological parameters of the premature neonates | first draw and peak hematocrit value and hemoglobin percent, need for inotropes and blood transfusion | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| composite neonatal morbidities | incidence of intraventricular hemorrhage, necrotizing enterocolitis, retinopathy, jaundice, sepsis , patent ductus arteriosus, etc | 12 month |
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Inclusion Criteria:
• Gestational age 24 to 34+6 weeks
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hytham Atia, MD | Armed forces hospitals Southern Region KSA | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Armed Forces Hospital of Southern Region | Khamis Mushait | 61961 | Saudi Arabia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36123638 | Derived | Atia H, Badawie A, Elsaid O, Kashef M, Alhaddad N, Gomaa M. The hematological impact of umbilical cord milking versus delayed cord clamping in premature neonates: a randomized controlled trial. BMC Pregnancy Childbirth. 2022 Sep 19;22(1):714. doi: 10.1186/s12884-022-05046-7. |
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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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closed envelop method
| cord milking |
| Procedure |
active cord milking 5 times |
|