Preterm Birth Clinical Trial
Official title:
A Randomised Controlled Trial to Evaluate the Role of Brief Delay in Cord Clamping in Preterm Neonates (34-36weeks) on Short Term Neurodevelopmental Outcome
RESEARCH HYPOTHESIS Brief delay(>30 sec to <60 sec ) in cord clamping as compared to early cord clamping (< 20 sec) leads to a better short term neurobehavioural outcome in preterm (34-36 wks) neonates when assessed by neurobehavioral assessment of preterm infants (n.a.p.i.) at 37 weeks of post conceptional age
Delayed cord clamping (DCC) : Well described phenomenon in term infants .
- The optimal timing of clamping of umbilical cord in preterm infants : A subject of
debate.
- Even a brief delay in cord clamping leads to an additional transfer of iron amounting
to 40-50 mg/kg which may prevent iron deficiency.¹
- This low cost intervention can have significant public health importance in resource
constrained settings.
- The effect of this intervention on neurobehaviour of preterm neonates has not been
assessed.
- This aspect has been identified by WHO and Cochrane as a potentially researchable area
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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