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| Name | Class |
|---|---|
| Hospital Universitario de la Plana | OTHER |
| FUNDACIÓN DAVALOS FLETCHER | UNKNOWN |
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This study compares two umbilical cord clamping times; the early one, up to a minute (ECC) and the late or delayed one, when the cord stop beating (DCC). The additional blood volume delivered to the newborn from the placenta - placental transference - by delaying umbilical cord ligation, increases the contribution of neonatal iron with increased iron stores in the infant, without increasing neonatal morbidity.
It is an intervention study without drugs administration with a longitudinal, prospective comparison and correlational design.
Patients are recruited by simple random sampling to one of the two intervention groups:
Group 1-ECC: Early clamping of the umbilical cord (before the first minute of life).
Group 2-DCC: Delayed clamping of the umbilical cord (when it stops beating).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1: ECC | Experimental | In the ECC group, the cord was clamped immediately after delivery, before the first minute of life. Blood test 6hours after clamping Blood test 24hours after clamping Blood test 48hours after clamping Blood test 28days after clamping |
|
| Group 2: DCC | Experimental | In the DCC group, the cord was clamped when it stops beating. Blood test 6hours after clamping Blood test 24hours after clamping Blood test 48hours after clamping Blood test 28days after clamping |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ECC | Procedure | Early clamping of the umbilical cord |
| |
| DCC |
| Measure | Description | Time Frame |
|---|---|---|
| haemoglobin | haemoglobin level | 6hours |
| haemoglobin | haemoglobin level | 28 days |
| haematocrit | haematocrit level | 6 hours |
| haematocrit | haematocrit level | 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| serum ferritin | serum ferritin level | 6hours |
| serum ferritin | serum ferritin level | 28days |
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Inclusion Criteria:
- neonates with a gestational age of 35 to 42 weeks and born through normal vaginal delivery.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Vanesa Rodenas, PhD | Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitario de La Plana | Villarreal | Castellón | 12540 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36126369 | Derived | Orenga-Orenga BJ, Gregori-Roig P, Real-Fernandez A, Donat-Colomer F, Sanchez-Thevenet P. Umbilical cord clamping time and maternal satisfaction. Midwifery. 2022 Dec;115:103487. doi: 10.1016/j.midw.2022.103487. Epub 2022 Sep 13. |
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Protocol study & Data Analysis
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| ID | Term |
|---|---|
| D000751 | Anemia, Neonatal |
| D051556 | Hyperbilirubinemia, Neonatal |
| D019189 | Iron Metabolism Disorders |
| ID | Term |
|---|---|
| D000740 | Anemia |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007232 | Infant, Newborn, Diseases |
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| ID | Term |
|---|---|
| D006403 | Hematologic Tests |
| ID | Term |
|---|---|
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D008919 | Investigative Techniques |
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Randomised controlled trials comparing early and late cord clamping
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| Procedure |
Delayed clamping of the umbilical cord |
|
| Blood Test 6hours | Procedure | Blood Test 6hours |
|
| Blood Test 24hours | Procedure | Blood Test 24hours |
|
| Blood Test 48hours | Procedure | Blood Test 48hours |
|
| Blood Test 28days | Procedure | Blood Test 28days |
|
| bilirubin | bilirubin level | 6hours |
| bilirubin | bilirubin level | 28days |
| D009358 |
| Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D006932 | Hyperbilirubinemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |