Comparing Delayed Cord Clamping and Umbilical Cord Milking During Elective Cesarean Section for the Neonatal Outcome

Umbilical Cord Milking Clinical Trial

Official title:

Comparing Delayed Cord Clamping and Umbilical Cord Milking During Elective Cesarean Section for the Neonatal Outcome

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05951348
• Other study ID #: 0106748
• Status: Completed
• Phase: N/A
• Start date: November 11, 2021
• Est. completion date: June 20, 2022

Study information

• Verified date: May 2023
• Source: Alexandria University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

the study is conducted on the different actions on umbilical cord clamping including immediate cord clamping (ICC) , delayed cord clamping (DCC) for 30 seconds and umbilical cord milking (UCM) for 10-15 seconds in females that are delivered by elective cesarean section , to assess the neonatal outcomes including Hemoglobin and Hematocrit levels after birth in the newborn and the bilirubin level after 72 hrs

Description:

the benefit of umbilical cord milking for 10-15 seconds maneuver in cesarean section, that short time can improve the hemoglobin level and prevent anemia in the newborn with improvement of the iron stores for months in infancy without affection on the bilirubin level and the need for phototherapy. This is significant because of the rising rate of cesarean section all over the world make more children are liable for anemia, and by this simple technique it can be prevented.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 162
• Est. completion date: June 20, 2022
• Est. primary completion date: June 20, 2022
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 20 Years to 40 Years

Eligibility

Inclusion Criteria:

• mother's age (20-40) years.

• pregnancy with a healthy singleton

• gestational age of 38-41 0/7 weeks

• uncomplicated pregnancy

Exclusion Criteria

• Any medical or obstetrical complications like hypertension, pre-eclampsia, diabetes any special habits like smoking, and substance abuse

• Rh-negative mothers. The fetal exclusion criteria

• fetus with evidence of intrauterine growth restriction

• infant with serious congenital anomalies.

Related Conditions & MeSH terms

• Umbilical Cord Milking

Intervention

Procedure:
• Delayed cord clamping for 30 seconds
waiting for 30 seconds after delivery of the fetus or milking of the cord in the direction of the fetus 10 times in time frame 10-15 seconds

Locations

Country	Name	City	State
Egypt	Tamer Ahmed Hosny	Alexandria

Sponsors (1)

Lead Sponsor	Collaborator
Alexandria University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	hemoglobin level	a blood sample is taken from the umbilical cord of the neonate	immediately after the intervention
Secondary	bilirubin level	trans-cutaneous measurement of the bilirubin level	72 hours after delivery