Brief Delay in Cord Clamping and Neurobehaviour in Preterms

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01753843
Recruitment Status : Completed
First Posted : December 20, 2012
Last Update Posted : July 8, 2013
Information provided by (Responsible Party):
DR. VIKRAM DATTA, Lady Hardinge Medical College

December 18, 2012
December 20, 2012
July 8, 2013
July 2012
July 2013   (Final data collection date for primary outcome measure)
short term neurobehavioral outcome [ Time Frame: at 37 weeks post conceptional age ]
using N.A.P.I (neurobehavioural assessment of preterm infant)
Same as current
Complete list of historical versions of study NCT01753843 on Archive Site
measuring cord hematocrit [ Time Frame: at birth ]
Same as current
Not Provided
Not Provided
Brief Delay in Cord Clamping and Neurobehaviour in Preterms
A Randomised Controlled Trial to Evaluate the Role of Brief Delay in Cord Clamping in Preterm Neonates (34-36weeks) on Short Term Neurodevelopmental Outcome
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
Not Applicable
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Preterm Birth
  • Procedure: early cord clamping
    early ( <20 seconds)
  • Procedure: Brief Delay in cord clamping
    delay in cord clamping 30 to 60 seconds
  • Active Comparator: early cord clamping
    cord clamping within 20 sec
    Intervention: Procedure: early cord clamping
  • Experimental: brief delay in cord clamping
    cord clamping delayed by 30 to 60 seconds
    Intervention: Procedure: Brief Delay in cord clamping
Not Provided

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Same as current
July 2013
July 2013   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • All preterm deliveries -infants born at 34 weeks 0 days to 36 weeks +6 days gestational age as estimated by last menstrual period or early ultrasound scan.
  • Infants delivered vaginally or by caesarean section in cephalic presentation
  • Singleton pregnancy
  • Parental consent

Exclusion Criteria:

  • Fetus with gross congenital anomaly
  • Fetus with hydrops
  • Rh negative pregnancy
Sexes Eligible for Study: All
Child, Adult, Older Adult
Contact information is only displayed when the study is recruiting subjects
Brief Delay in Cord Clamping
Not Provided
Not Provided
DR. VIKRAM DATTA, Lady Hardinge Medical College
Lady Hardinge Medical College
Not Provided
Principal Investigator: Vikram Datta, M.D. Lady Hardinge Medical College, New Delhi
Lady Hardinge Medical College
July 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP