Effect of Umbilical Cord Milking Versus Clamping in Preterms on Cerebral Oxygenation and Ductus Arteriosus Closure
Ductus Arteriosus
About this trial
This is an interventional diagnostic trial for Ductus Arteriosus focused on measuring Cerebral tissue oxygenation, Functional Ductus arteriosus closure, Umbilical cord milking, Delayed cord clamping
Eligibility Criteria
Inclusion Criteria: Preterm infants with gestational age (GA) of 28 - 34 weeks born and admitted to Ain shams university NICUs. Exclusion Criteria: Late preterm with gestational age 35-37 weeks. Term infants with gestational age > 37weeks. NIRS data that not obtained within 1sthour after birth. Congenital heart disease (other than PDA or small atrial septal defects/patent foramen oval/muscularventriculoseptal defects). Hypoxic-ischemic insult. Major congenital deformations.
Sites / Locations
- Ainshams university
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Umbilical cord milking
delayed cord clamping
In the cesarean section or vaginal delivery, the obstetrician will gently grasp the uncut umbilical cord and squeeze it from the placenta several times toward the infant usually within 20 seconds.
In the cesarean section or vaginal delivery the delivering obstetrician will wait at least 60 s before clamping the umbilical cord. Infants will be dried and will be given gentle tactile stimulation to promote the respiratory effort.