Physiologically Based Cord Clamping To Improve Neonatal Outcomes After Elective Cesarean Delivery

Launched by QUEEN FABIOLA CHILDREN'S UNIVERSITY HOSPITAL · Feb 19, 2024

Keywords

ClinConnect Summary

This clinical trial is studying a technique called delayed cord clamping for babies born through planned cesarean delivery. Normally, when a baby is born, the umbilical cord is clamped and cut right away. However, delaying this process can allow more blood to flow from the placenta to the baby, which may help the baby breathe better and adjust more easily after birth. This trial aims to see if this approach helps newborns have better health outcomes and promotes a stronger bond with their mothers right after delivery.

To be eligible for this study, pregnant women must be scheduled for a cesarean section at Brugmann University Hospital and be at least 37 weeks along in their pregnancy. They should be having a single baby and not have any serious health issues or complications that require an emergency cesarean. Participants can expect to have their newborns monitored closely to see how well they adapt after birth, and they will be able to stay connected with their babies during this important time. This research is important because it could improve the early experiences of mothers and their babies following surgical delivery.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• Pregnant women followed-up in Brugmann University Hospital will be eligible to participate if:
• • 1. Scheduled for cesarean delivery (business days and daily working hours)
• • 2. Singleton pregnancy
• • 3. Cesarean section scheduled at or after 37 weeks gestational age
• Exclusion Criteria:
• • 1. Fetal anomalies (congenital malformations, anemia, growth restriction with abnormal Dopplers)
• • 2. Abnormal placentation (placenta previa)
• • 3. Signs of fetal distress necessitating an emergency cesarean section
• • 4. Spontaneous labor before cesarean section
• • 5. Maternal health issue including severe anemia (defined as hemoglobin level \< 7 g/dL), preeclampsia, and bleeding disorders
• • 6. Maternal refusal of the use of blood products.
• • 7. General anesthesia for cesarian section
• • 8. Planned cord blood banking
• • 9. Total language barrier without possibility of translation