Effect of Umbilical Cord Milking on Iron Related Health Outcomes for Cesarean-Delivered Infants
Anemia, Iron-Deficiency
About this trial
This is an interventional prevention trial for Anemia, Iron-Deficiency focused on measuring Anemia, Iron-Deficiency, Cesarean Section, Umbilical Cord Milking, Randomized Controlled Trial
Eligibility Criteria
Inclusion Criteria:
- Singleton pregnancy
- Full-term pregnancy (no less than 37 gestational weeks)
- Cesarean section before the labor starts or cesarean section after the labor starts but with cervix less than 3 cm
- Plan to take vaccines and receive routine child health care in the hospital where she gives birth
Exclusion Criteria:
- Maternal hypertensive disorder
- Gestational diabetes with macrosomia
- Gestational diabetes with polyhydramnios
- Maternal severe anemia with hemoglobin less than 70 g/L
- Maternal coagulation disorders
- Fetal growth restriction
- Major congenital anomalies
- Hemolytic disease of the newborn or hydrops fetalis
- Short umbilical cord length (< 30 cm)
- Severe cord or placenta abnormalities such as cord prolapse, true knots, placental abruption and placenta previa
- Other conditions that are not suitable for the study judged by the doctors
Sites / Locations
- Hunan Provincial Maternal and Child Health Care Hospital
- Liuyang Maternal and Child Health Care Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Umbilical cord milking
Routine clinical treatment and care
The cord will be cut at 25 cm from the umbilical stump within 30 seconds after the infant is taken out from the uterus and its blood will be milked to the infant gently and thoroughly in 30 seconds during resuscitation on the radiant warmer, and then the cord will be cut at 2 to 3 cm from the umbilical stump.
The cord will be dealt with routine clinical method, which means it will be cut twice within 1minute after the infant is taken out from the uterus, the first cut is on the operating table, while the second cut is on the radiant warmer.