作者
Lelia Duley, Jon Dorling, Angela Pushpa-Rajah, Sam J Oddie, Charles William Yoxall, Bernard Schoonakker, Lucy Bradshaw, Eleanor J Mitchell, Joe Anthony Fawke
发表日期
2018/1/1
期刊
Archives of Disease in Childhood-Fetal and Neonatal Edition
卷号
103
期号
1
页码范围
F6-F14
出版商
BMJ Publishing Group
简介
Objectives
For very preterm births, to compare alternative policies for umbilical cord clamping and immediate neonatal care.
Design
Parallel group randomised (1:1) trial, using sealed opaque numbered envelopes.
Setting
Eight UK tertiary maternity units.
Participants
261 women expected to have a live birth before 32 weeks, and their 276 babies.
Interventions
Cord clamping after at least 2 min and immediate neonatal care with cord intact, or clamping within 20 s and immediate neonatal care after clamping.
Main outcome measures
Intraventricular haemorrhage (IVH), death before discharge.
Results
132 women (137 babies) were allocated clamping ≥2 min and neonatal care cord intact, and 129 (139) clamping ≤20 s and neonatal care after clamping; six mother-infant dyads were excluded (2, 4) as birth was after 35+6 weeks, one withdrew (death data only available) (0, 1). Median gestation was 28.9 weeks for …
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L Duley, J Dorling, A Pushpa-Rajah, SJ Oddie… - Archives of Disease in Childhood-Fetal and Neonatal …, 2018