Physiologically Based Cord Clamping To Improve Neonatal Outcomes In Moderate And Late Preterm Newborns

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 moderately or late preterm, which means they are born between 32 and 36 weeks of pregnancy. Normally, when a baby is born, the umbilical cord is clamped and cut right away, but this study is testing whether waiting a little longer to do this can help the baby breathe better and bond with their mother. When babies are born too early, their lungs may still be filled with fluid, making it hard for them to breathe. This technique may help them adapt better after birth, potentially reducing the need for extra medical help.

To participate in this trial, pregnant women must be expecting a single baby and be in the specified gestational age range. Women with certain health issues or complications, such as severe anemia or fetal distress, will not be eligible. Those who join the study can expect to have their baby's breathing and overall health monitored closely after birth, while also being able to stay near their baby during this important time. This research aims to find ways to improve health outcomes for preterm infants and strengthen the bond between mother and child.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• Pregnant women followed-up in Brugmann University Hospital will be eligible to participate if:
• • The delivery takes place between 32 0/7 and 36 6/7 weeks of gestation
• • They carry singletons
• Exclusion Criteria:
• • Fetal anomalies including congenital malformations, anemia, and growth restriction with abnormal Dopplers.
• • Abnormal placentation such as placenta previa.
• • Signs of fetal distress necessitating an emergency cesarean section.
• • Maternal health issue including severe anemia (defined as hemoglobin level \< 7 g/dL), preeclampsia, and bleeding disorders.
• • Maternal refusal of the use of blood products.
• • General anesthesia for cesarian section.
• • Planned cord blood banking.
• • Total language barrier without possibility of translation