Neonatal Anemia Clinical Trial
Official title:
Milking Versus Delayed Cord Clamping in Full Term Neonates Delivered by Elective Cesarean Section A Randomized Controlled Trial
To compare the short term risks and benefits of cord milking 5 times toward the neonate with delayed cord clamping for 120 seconds in the full term neonate delivered by cesarean section.
Abstract Context: milking of the umbilical cord toward the neonate 5 times and delayed cord
clamping both are good procedures to prevent anemia in neonates .
Objective: To investigate the effects of delayed umbilical cord clamping for 120 seconds,
compared with milking of the cord 5 times toward the neonate on hemoglobin level after 6
weeks, Intubation,Respiratory distress,Clinical jaundice,Neonatal Intensive Care unit (NICU)
admission,Apgar score (after 5 minutes of delivery).
-Maternal,Need for blood transfusion,Additional need for therapeutic uterotonics,Post
postpartum hemorrhage (blood loss > 500cc),Intensive Care unit admission.
Design: Randomized controlled trial. Setting: Ain Shams university maternity hospital.
Participants:300 full term infants born after a low risk pregnancy by cesarean section
delivery.
Intervention: Infants were randomized to delayed umbilical cord clamping (≥120 seconds after
delivery) or cord milking (5 times to ward the neonate).
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Supportive Care
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