Intact-cord Stabilisation and Physiology-based Cord Clamping in Caesarean Sections
NCT05461950 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 263
Last updated 2024-06-04
Summary
This is a feasibility study with historical control designed to evaluate whether delivery of the placenta prior to umbilical cord clamping at caesarean sections is a feasible, safe and acceptable way of facilitating intact-cord stabilisation of preterm and term newborn infants.
Conditions
- Cesarean Section
- Infant Conditions
Interventions
- PROCEDURE
-
Extrauterine placental transfusion and physiology-based umbilical cord clamping
Placenta is delivered prior to umbilical cord clamping to facilitate placental transfusion. Infant and placenta are transferred to a warmer in an adjacent room, the umbilical cord is clamped and cut when the cord is white, pulsations have ceased and the infants is breathing regularly (within 10 minutes after delivery)
- PROCEDURE
-
Extrauterine placental transfusion, intact cord stabilisation and physiology-based umbilical cord clamping
Placenta is delivered prior to umbilical cord clamping to facilitate placental transfusion. Infant and placenta are transferred to a warmer in an adjacent room and necessary respiratory support is initiated (CPAP or PPV) by a neonatal team. The umbilical cord is clamped and cut when the cord is white, pulsations have ceased and the infant is breathing regularly with or without support (at maximum 10 minutes after delivery)
- PROCEDURE
-
Delayed umbilical cord clamping
Umbilical cord is clamped and cut minimum 60 seconds after delivery to facilitate placental transfusion. Placenta is delivered after cord clamping. Infants needing respiratory support or other stabilisation are transferred to a warmer in the adjacent room where a neonatal team is waiting.
Sponsors & Collaborators
-
Norwegian University of Science and Technology
collaborator OTHER -
Helse Møre og Romsdal HF
lead OTHER_GOV
Principal Investigators
-
Beate H Eriksen, MD/PhD · Møre and Romsdal Hosptal Trust / Norwegian University of Science and Technology
Eligibility
- Min Age
- 32 Weeks
- Max Age
- 42 Weeks
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-10-03
- Primary Completion
- 2024-03-31
- Completion
- 2024-03-31
Countries
- Norway
Study Locations
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