Abstract | OBJECTIVE: STUDY DESIGN: This was a randomized, controlled unmasked trial in which women in labor with singleton fetuses <32 weeks' gestation were randomly assigned to ICC (cord clamped at 5-10 seconds) or DCC (30-45 seconds) groups. Women were excluded for the following reasons: their obstetrician refused to participate, major congenital anomalies, multiple gestations, intent to withhold care, severe maternal illnesses, placenta abruption or previa, or rapid delivery after admission. RESULTS: Seventy-two mother/infant pairs were randomized. Infants in the ICC and DCC groups weighed 1151 and 1175 g, and mean gestational ages were 28.2 and 28.3 weeks, respectively. Analyses revealed no difference in maternal and infant demographic, clinical, and safety variables. There were no differences in the incidence of our primary outcomes (BPD and suspected NEC). However, significant differences were found between the ICC and DCC groups in the rates of IVH and LOS. Two of the 23 male infants in the DCC group had IVH versus 8 of the 19 in the ICC group. No cases of sepsis occurred in the 23 boys in the DCC group, whereas 6 of the 19 boys in the ICC group had confirmed sepsis. There was a trend toward higher initial hematocrit in the infants in the DCC group. CONCLUSIONS:
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Authors | Judith S Mercer, Betty R Vohr, Margaret M McGrath, James F Padbury, Michael Wallach, William Oh |
Journal | Pediatrics
(Pediatrics)
Vol. 117
Issue 4
Pg. 1235-42
(Apr 2006)
ISSN: 1098-4275 [Electronic] United States |
PMID | 16585320
(Publication Type: Journal Article, Randomized Controlled Trial, Research Support, N.I.H., Extramural)
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Topics |
- Blood Transfusion
- Bronchopulmonary Dysplasia
(prevention & control)
- Cerebral Hemorrhage
(prevention & control)
- Constriction
- Delivery, Obstetric
(methods)
- Enterocolitis, Necrotizing
(prevention & control)
- Female
- Humans
- Infant, Newborn
- Infant, Premature
- Infant, Premature, Diseases
(mortality, prevention & control, therapy)
- Infant, Very Low Birth Weight
- Male
- Pregnancy
- Sepsis
(prevention & control)
- Survival Rate
- Time Factors
- Umbilical Cord
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