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The purpose of the study is to determine if neonates (who already have an increased risk of hyperbilirubinemia due to mother's history of having previous neonate who received phototherapy for hyperbilirubinemia) have higher bilirubin levels 24 hours after birth with delayed cord clamping.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Delayed cord clamping | Active Comparator |
| |
| Early cord clamping | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Delayed cord clamping | Procedure | The umbilical cord will be clamped after 60 seconds after birth |
|
| Measure | Description | Time Frame |
|---|---|---|
| Neonatal bilirubin level | 24 hours after birth |
| Measure | Description | Time Frame |
|---|---|---|
| Number of neonates with hyperbilirubinemia | Hyperbilirubinemia is a condition in which there is too much bilirubin in the blood. | 24 hours after birth |
| Number of neonates with a need for phototherapy |
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Inclusion Criteria:
Exclusion Criteria:
- Neonates who do not meet criteria for delayed cord clamping (any infant that any provider in the room felt needed evaluation by the neonatal transport team immediately so that the infant would be handed off for resuscitation. If the patient required delivery by cesarean section the delayed cord clamping protocol would be abandoned).
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| Name | Affiliation | Role |
|---|---|---|
| Pamela D Berens, MD | The University of Texas Health Science Center, Houston | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Texas Health Science Center at Houston | Houston | Texas | 77030 | United States |
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| Early cord clamping | Procedure | The umbilical cord will be clamped as soon as feasible after birth, usually within the initial 15 seconds after birth. |
|
| From birth to up to 1 week after birth |
| Number of neonates with a need for exchange transfusion | From birth to up to 1 week after birth |
| Number of neonates admitted to the neonatal intensive care unit (NICU) | From birth to up to 1 week after birth |
| Number of mothers with postpartum hemorrhage | From birth to up to 1 week after birth |
| Number of neonates re-hospitalized for jaundice | From birth to up to 1 week after birth |
| ID | Term |
|---|---|
| D051556 | Hyperbilirubinemia, Neonatal |
| D007567 | Jaundice, Neonatal |
| ID | Term |
|---|---|
| D007232 | Infant, Newborn, Diseases |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D006932 | Hyperbilirubinemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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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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