NCT03147846

Brief Summary

Comparing the beneficial effect of cord milking versus deferred cord clamping in preterm neonates. A randomized controlled trial

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
200

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2017

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 29, 2017

Completed
11 days until next milestone

First Posted

Study publicly available on registry

May 10, 2017

Completed
29 days until next milestone

Study Start

First participant enrolled

June 8, 2017

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2019

Completed
Last Updated

March 31, 2020

Status Verified

March 1, 2020

Enrollment Period

2.2 years

First QC Date

April 29, 2017

Last Update Submit

March 30, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • hematological parameters of the premature neonates

    first draw and peak hematocrit value and hemoglobin percent, need for inotropes and blood transfusion

    12 months

Secondary Outcomes (1)

  • composite neonatal morbidities

    12 month

Study Arms (2)

delayed cord clamping

EXPERIMENTAL

Keep the baby at the level or below the placenta for 45-60 seconds before clamping the cord. Keep the room temperature at 23-25˚C and wrap the baby if possible

Procedure: delayed cord clamping

cord milking

ACTIVE COMPARATOR

Do 4-5 strips from proximal (maternal) end of the cord (as proximal as possible) towards the baby abdomen with thumb and forefinger Wait for 2 seconds between each stripping Keep the baby at the level of placenta

Procedure: cord milking

Interventions

delay of cord clamping for 60 seconds

delayed cord clamping
cord milkingPROCEDURE

active cord milking 5 times

cord milking

Eligibility Criteria

Age24 Weeks - 35 Weeks
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Gestational age 24 to 34+6 weeks

You may not qualify if:

  • Category III CTG
  • Monochorionic twins
  • Significant antepartum hemorrhage
  • IUGR or Rh incompatibility

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Armed Forces Hospital of Southern Region

Khamis Mushait, 61961, Saudi Arabia

Location

Related Publications (1)

  • Atia H, Badawie A, Elsaid O, Kashef M, Alhaddad N, Gomaa M. The hematological impact of umbilical cord milking versus delayed cord clamping in premature neonates: a randomized controlled trial. BMC Pregnancy Childbirth. 2022 Sep 19;22(1):714. doi: 10.1186/s12884-022-05046-7.

MeSH Terms

Interventions

Umbilical Cord Clamping

Intervention Hierarchy (Ancestors)

Delivery, ObstetricObstetric Surgical ProceduresSurgical Procedures, Operative

Study Officials

  • Hytham Atia, MD

    Armed forces hospitals Southern Region KSA

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Masking Details
closed envelop method
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
lecturer

Study Record Dates

First Submitted

April 29, 2017

First Posted

May 10, 2017

Study Start

June 8, 2017

Primary Completion

September 1, 2019

Study Completion

September 1, 2019

Last Updated

March 31, 2020

Record last verified: 2020-03

Data Sharing

IPD Sharing
Will not share

Locations