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Comparative Outcomes Related to Delivery-room Cord Milking In Low-resourced Kountries
Sponsor: Nemours Children's Clinic
Summary
The investigators will conduct a study on non-vigorous infants at birth to determine if umbilical cord milking (UCM) results in lower rate of moderate to severe hypoxic ischemic encephalopathy (HIE) or death than early clamping and for infants who are non-vigorous at birth and need immediate resuscitation.
Official title: A Cluster Randomized Clinical Trial of Umbilical Cord Milking Versus Early Cord Clamping on Short and Long-term Outcomes in Neonates Who Are Non-Vigorous at Birth
Key Details
Gender
All
Age Range
35 Weeks - 42 Weeks
Study Type
INTERVENTIONAL
Enrollment
3442
Start Date
2022-10-17
Completion Date
2026-06-28
Last Updated
2026-02-13
Healthy Volunteers
No
Interventions
Umbilical cord milking
At delivery, the umbilical cord is grasped, and blood is pushed toward the infant 4 times before the cord is clamped. This procedure infuses a placental transfusion of blood into the infant and can be done in 1--15 seconds.
Locations (9)
KLE Academy of Higher Education and Research (Deemed-to-be-University) Jawaharlal Nehru Medical College
Belagavi, Karnataka, India
Indira Gandhi Government Medical College & Hospital
Nagpur, Maharashtra, India
Pimpri Chinchwad Municipal Corporation's Post-Graduate Institute, Yashwantrao Chavan Memorial Hospital
Pune, Maharashtra, India
Government Medical College
Chandrapur, MS, India
Daga Memorial Woman and Children Hospital
Nagpur, MS, India
Government Medical College and Hospital
Nagpur, MS, India
All India Institute of Medical Science
Nagpur, MS, India
Mahatma Gandhi Institute of Medical Sciences/ Kasturba Hospital
Wardha, MS, India
Sawai Man Singh (SMS) Medical College
Jaipur, Rajasthan, India