Asphyxia Neonatorum Clinical Trial
Official title:
Early or Late Cord Clamping in the Depressed Neonate - a Randomized Controlled Study in a Low-income Facility Setting for Improved Early Neonatal Outcome
This study evaluates the hypothesis that delayed compared to early umbilical cord clamping will improve neonatal transition in terms of circulation and breathing during resuscitation.
At the time of birth, the infant is still attached to the placenta via the umbilical cord.
The infant is usually separated from the placenta by clamping the cord with two clamps.
Early cord clamping has been generally advised to be carried out in the first 30 seconds
after birth, regardless of whether the cord pulsation has ceased. However, arguments against
early cord clamping include the reduction in the amount of placental transfusion and any
associated benefits of extra blood volume, as delayed clamping allows time for a transfer of
the fetal blood in the placenta to the infant at the time of birth.
The study will evaluate the effect of early versus delayed cord clamping in a low-income
setting in children that do not spontaneously start to breathe. The randomized controlled
trial will be carried out at Paropakar Maternity and Women's Hospital (PMWH) in Kathmandu.
The trial will fill several important gaps in relation to early and delayed cord clamping
and results.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Basic Science
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