NCT03668782

Brief Summary

The objective of the study was to investigate the efficacy and safety of umbilical cord milking as compared with immediate cord clamping on placental transfusion, estimated by Δ hematocrit between cord blood at birth and capillary heel hematocrit at 48 hours of age, in elective cesarean delivered neonates.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
130

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Oct 2018

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
unknown

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

September 11, 2018

Completed
2 days until next milestone

First Posted

Study publicly available on registry

September 13, 2018

Completed
18 days until next milestone

Study Start

First participant enrolled

October 1, 2018

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 31, 2019

Completed
28 days until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2019

Completed
Last Updated

September 13, 2018

Status Verified

September 1, 2018

Enrollment Period

4 months

First QC Date

September 11, 2018

Last Update Submit

September 11, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Placental transfusion

    Δ hematocrit between cord blood at birth and capillary heel hematocrit at 48 hours of age

    48 hours

Study Arms (2)

immediate cord clamping

Tthe umbilical cord of neonates was cut and clamped.

Procedure: Umbilical cord milking

umbilical cord milking.

Tthe umbilical cord of neonates was milked.

Procedure: Umbilical cord milking

Interventions

The babies were held at the level of the placenta, while the umbilical cord was milked or cut and clamped.

Also known as: Immediate cord clamping
immediate cord clampingumbilical cord milking.

Eligibility Criteria

Age1 Minute - 2 Days
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)
Sampling MethodProbability Sample
Study Population

All women who presented for an elective cesarean section were screened for eligibility.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Policlinico Abano Terme

Abano Terme, Italy

Location

Related Publications (1)

  • Zanardo V, Guerrini P, Severino L, Simbi A, Parotto M, Straface G. A Randomized Controlled Trial of Intact Cord Milking versus Immediate Cord Clamping in Term Infants Born by Elective Cesarean Section. Am J Perinatol. 2021 Mar;38(4):392-397. doi: 10.1055/s-0039-1697673. Epub 2019 Oct 10.

Biospecimen

Retention: SAMPLES WITH DNA

After the infant was delivered, the obstetrician either immediately clamped and cut the cord or initiated the milking protocol intervention, near the cord insertion site on the placenta towards the infant, three times before clamping.

MeSH Terms

Conditions

Fetofetal Transfusion

Interventions

Umbilical Cord Clamping

Condition Hierarchy (Ancestors)

Anemia, NeonatalAnemiaHematologic DiseasesHemic and Lymphatic DiseasesInfant, Newborn, DiseasesCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Intervention Hierarchy (Ancestors)

Delivery, ObstetricObstetric Surgical ProceduresSurgical Procedures, Operative

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director of Perinatal Medicine

Study Record Dates

First Submitted

September 11, 2018

First Posted

September 13, 2018

Study Start

October 1, 2018

Primary Completion

January 31, 2019

Study Completion

February 28, 2019

Last Updated

September 13, 2018

Record last verified: 2018-09

Data Sharing

IPD Sharing
Will not share

Locations