RESEARCH HYPOTHESIS Brief delay(\>30 sec to \<60 sec ) in cord clamping as compared to early cord clamping (\< 20 sec) leads to a better short term neurobehavioural outcome in preterm (34-36 wks) neonates when assessed by neurobehavioral assessment of preterm infants (n.a.p.i.) at 37 weeks of post conceptional age
Delayed cord clamping (DCC) : Well described phenomenon in term infants . * The optimal timing of clamping of umbilical cord in preterm infants : A subject of debate. * Even a brief delay in cord clamping leads to an additional transfer of iron amounting to 40-50 mg/kg which may prevent iron deficiency.¹ * This low cost intervention can have significant public health importance in resource constrained settings. * The effect of this intervention on neurobehaviour of preterm neonates has not been assessed. * This aspect has been identified by WHO and Cochrane as a potentially researchable area
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
120
early ( \<20 seconds)
delay in cord clamping 30 to 60 seconds
Lady Hardinge Medical College
New Delhi, National Capital Territory of Delhi, India
short term neurobehavioral outcome
using N.A.P.I (neurobehavioural assessment of preterm infant)
Time frame: at 37 weeks post conceptional age
measuring cord hematocrit
Time frame: at birth
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