The purpose of this study is to determine whether the umbilical cord milking in preterm infants born by cesarian section less than 34 weeks is more effective than delayed cord clamping to obtain higher levels of hemoglobin.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
40
Once the preterm is born keep the baby from the mother's thighs. The obstetrician cord milking three times (2seconds/milking) taking the cord from the base 20cm respect towards the baby. Then clamp de cord.
Once the preterm is born the neonatologist keep the baby beside the mother at level of the operating table during 30 seconds without cord clamping. The baby is covered with a polythene bag and put a cap on his head. Then the obstetritian clamp the cord.
Corporacio Sanitaria Parc Tauli
Sabadell, Barcelona, Spain
Haemoglobin
g/dl
Time frame: 1 hour and 24 hours at born
Apgar Score
Basic score to mesure the newborn status. From 0 to 10.
Time frame: 1 and 5 minutes
Arterial pressure
Mean of systolic and dyastolic arterial pressure in mm Hg
Time frame: 2, 6, 12, 24, 36 and 48 hours of life
Orine volume
Total volume of orine at 24 and 48 hours of life. Total ml.
Time frame: 24 and 48 hours of life
Use of vasopresors drugs
To use or not to use the vasopresors drugs during the first 24 hours of life
Time frame: 24 hours of life
Number of concentrate hematies transfusion
Total number of concentrate hematies transfusions during the hospital stay. The stay should vary depending of the gestacional age, from 2 weeks up to 3 months.
Time frame: participants will be followed for the duration of hospital stay (from 2 weeks up to 3 months)
Intraventricular hemorrhage
Presence of intraventricular hemorrhage mesured by cerebral ultrasound Degree of the hemorrhage by Papile
Time frame: participants will be followed for the duration of hospital stay (from 2 weeks up to 3 months)
Bronchopulmonary dysplasia
Presence of Bronchopulmonary dysplasia and the degree, mesured by Spanish classification (M. Sanchez Luna)
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Time frame: participants will be followed for the duration of hospital stay (from 2 weeks up to 3 months)
Total intensive care unit stay
Mesured in days. The stay should vary depending of the gestacional age, from 2 weeks up to 3 months.
Time frame: Participants will be followed for the duration of hospital stay (from 2 weeks up to 3 months)
Hematocrit
In percentage
Time frame: 1 hour and 24 hours at born