Infant Brain Study Follow-Up at 3 and 4 Years of Age
NCT02619006 · Status: TERMINATED · Type: OBSERVATIONAL · Enrollment: 10
Last updated 2018-10-15
Summary
When immediate clamping of the umbilical cord (ICC) occurs at birth, 20 to 30% of the fetal-placental blood volume is left behind in the placenta. Preliminary results from our current study comparing effects of ICC versus placental transfusion from delayed cord clamping (DCC) show that infants who have DCC have higher ferritin levels at 4 months of age and more myelin in important regions of the brain. Our objective for this follow-up study is to see if the effects of placental transfusion persist to three and four years of age. The investigators plan to enroll only children who participated in the previous trial (Infant Brain Study/NCT01620008) at birth for assessments at three and four years of age. Assessments include MRIs and neurodevelopmental testing to examine cognitive, motor, visual, and behavioral outcomes.
The proposed research addresses two central questions regarding the potential benefits of DCC on brain myelin development in children who were born healthy at term: 1. Does DCC result in increased brain myelin deposition at three and four years of age? and 2) Are DCC, iron stores, and brain myelin content in infancy associated with improved cognitive, motor, and socio-behavioral outcomes at three and four years of age?
Conditions
- Iron Deficiency
- Child Development
Interventions
- OTHER
-
Delayed Cord Clamping or Cord Milking
Healthy term infants who were previously randomized or assigned at birth to the intervention group known as delayed cord clamping. The cord was clamped and cut at or beyond 300 seconds (5 mins). Cord milking (cord milked x 5) was used as a proxy for delayed cord clamping when there was a clinical situation of concern.
Sponsors & Collaborators
-
Women and Infants Hospital of Rhode Island
collaborator OTHER -
Brown University
collaborator OTHER -
University of Rhode Island
lead OTHER
Principal Investigators
-
Judith S Mercer, PhD · University of Rhode Island, Women and Infants Hospital of Rhode Island
-
Debra A Erickson-Owens, PhD · University of Rhode Island, Women and Infants Hospital of Rhode Island
-
Sean Deoni, PhD · Brown University
Eligibility
- Min Age
- 30 Months
- Max Age
- 48 Months
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-11-30
- Primary Completion
- 2016-12-31
- Completion
- 2017-01-31
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