Milking of the Cut-Cord During Resuscitation of Preterm Infants (The MOCC Study)

Milking of the Cut-Cord During Resuscitation of Preterm Infants: A Randomized Controlled Trial (The MOCC Study)

In this feasibility study, the investigators will randomize preterm infants born at <32 weeks gestation to either the standard practice of delayed cord clamping (DCC) for 30-60 seconds at birth or milking of the long-cut cord (MOCC) while providing resuscitation/stabilization to the infant. The main objectives of the trial are to assess the feasibility of the new approach (MOCC) and to compare the two groups regarding the hemoglobin levels on admission to NICU in addition to neonatal morbidity and mortality.

Inclusion Criteria:

• Preterm infants <32 weeks' gestation

Exclusion Criteria:

• Clinical evidence of interrupted placental circulation (placental abruption or avulsed cord) or bleeding from placenta previa.
• Monochorionic twins or any higher order multiple pregnancy
• Major fetal congenital or chromosomal abnormality
• Documented fetal anemia or in utero red blood cell transfusion
• Intent to withhold or withdraw treatment of the infant