Protocol summary

Summary
The goal of the study is to compare the effect of delayed versus immediate cord clamping on incidence of intraventricular hemorrhage(IVH) in preterm neonate and decide the best time for umbilical cord clamping to decrease their prematurity complications. The study is randomized and double blind performed in two centers. Study populations are premature neonates (gestational age is equal to 26-34 weeks). Exclusion criteria are refuse of parents or the obstetrician; severe congenital anomaly; placenta abruption or previa; need for immediate resuscitate in mother or the neonate sample size is calculated as 114 neonates, 57 neonates for case and 57 neonates for control group. Intervention is a 30-45seconds delay in clamping of the umbilical cord after birth in preterm neonate with gestational age of 26-34 weeks , who are kept between mother’s legs in normal vaginal delivery or on mother’s leg during cesarean section (at level of vaginal). Evaluation of IVH is performed by cranial ultrasonography on day 3-4 and day 7-10 after birth and analyzed the result for IVH, hemoglobin, hematocrit, bilirubin. Need for transfusion IVH risk factors and other DCC complications or benefits.

General information

Acronym
IRCT registration information
IRCT registration number: IRCT2014031116936N1
Registration date: 2014-05-17, 1393/02/27
Registration timing: retrospective

Last update:
Update count: 0
Registration date
2014-05-17, 1393/02/27
Registrant information
Name
Fariba Hemmati
Name of organization / entity
Shiraz University Of Medical Science
Country
Iran (Islamic Republic of)
Phone
+98 71 1612 5481
Email address
hemmatif@sums.ac.ir
Recruitment status
Recruitment complete
Funding source
Shiraz University Of Medical Science
Expected recruitment start date
2012-08-22, 1391/06/01
Expected recruitment end date
2013-11-22, 1392/09/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparing the effect of delayed versus immediate cord clamping on the incidence of intraventricular hemorrhage (IVH) in preterm neonates with gestational age ≤34 weeks in Hafez & Zeynab hospitals from September 2012 to December 2013
Public title
The effect of delayed cord clamping on IVH in premature neonate
Purpose
Prevention
Inclusion/Exclusion criteria
Inclusion criterion: premature neonates with gestational age 26-34 weeks born in Shiraz Hafez and Hazrat Zeynab hospitals from September 2012 to December 2013 Exclusion criteria: decline to participate; refuse of neonate logiest or obstetrician; severe congenital anomalies; need for immediate resuscitation after birth in neonate or mothers; placenta abruption or placenta previa; umbilical cord clamped in a time other than what is considered.
Age
To 30 days old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 114
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Double blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Shiraz University Of Medical Science
Street address
Building of Shiraz University Of Medical Science, Zand street, Shiraz
City
Shiraz
Postal code
Approval date
2012-09-13, 1391/06/23
Ethics committee reference number
CT-P-4103

Health conditions studied

1

Description of health condition studied
IVH: Imtraventricular hemorrhage
ICD-10 code
I62.9
ICD-10 code description
Intracranial haemorrhage (nontraumatic), unspecified

Primary outcomes

1

Description
IVH by cranial ultrasonography
Timepoint
3-4 day and7-10 day after intraventricular (birth)
Method of measurement
diagnostic ultrasonography device mindray M7 by volpe criteria according to Neurology of the newborn Ed.5 2008

Secondary outcomes

1

Description
hemoglobin
Timepoint
the first day after intervention
Method of measurement
sismex automated device for blood index

2

Description
hematocrit
Timepoint
the first day after intervention
Method of measurement
sismex automated device for blood index

3

Description
platelet
Timepoint
the first day after intervention and when needed after that
Method of measurement
sismex automated device for blood index

4

Description
bilirubin
Timepoint
2nd,3nd and fifth days after intervention if needed after that up to the discharge time
Method of measurement
By labratory

5

Description
Apgar score
Timepoint
1st and 5th minute after intervention
Method of measurement
according to clinical scoring of neonate by color, tone, reflex, heart rate and respiration

Intervention groups

1

Description
30-45 seconds delay in clamping of umbilical cord
Category
Prevention

2

Description
umbilical cord clamping in10 to15 seconds after birth
Category
Prevention

Recruitment centers

1

Recruitment center
Name of recruitment center
Hafez hospital
Full name of responsible person
Dr. Leila Salarian
Street address
Hafez Hospital, Chamran street, Shiraz
City
Shiraz

2

Recruitment center
Name of recruitment center
Zeinabieh Hospital
Full name of responsible person
Dr.Salarian
Street address
Zeinabieh Hospital, Defae moghadas square, Shiraz
City
Shiraz

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Shiraz University of Medical Sciences
Full name of responsible person
Dr. Seyed Basir Hashemi
Street address
7th Floor dean of research, Building of University Of Medical Science, Zand street, Shiraz, Fars
City
Shiraz
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Shiraz University of Medical Sciences
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty

Person responsible for general inquiries

Contact
Name of organization / entity
Shiraz University of Medical Sciences
Full name of responsible person
Dr. Namavar Jahromi Bahia
Position
Professor of OB & GYN specialy infertility
Other areas of specialty/work
Street address
OB $ GYN department,Shahid faghihihospital, Shiraz, Iran
City
Shiraz
Postal code
Phone
+98 71 1233 2356
Fax
Email
namavarb@sums.ac.ir
Web page address

Person responsible for scientific inquiries

Contact
Name of organization / entity
Shiraz University of Medical Sciences
Full name of responsible person
Dr. Fariba Hemmati
Position
Professor of Neonatal
Other areas of specialty/work
Street address
Neonatal part, Nemazee Hospital, Zand street, Shiraz
City
Shiraz
Postal code
Phone
+98 71 1612 5479
Fax
Email
hemmatif@sums.ac.ir
Web page address

Person responsible for updating data

Contact
Name of organization / entity
Shiraz University of Medical Sciences
Full name of responsible person
Dr. Leila Salarian
Position
Other areas of specialty/work
Street address
Nemazee hospital, Zand street, Shiraz
City
Shiraz
Postal code
Phone
+98 71 1630 1004
Fax
Email
lilsalaria@yahoo.com
Web page address

Sharing plan

Deidentified Individual Participant Data Set (IPD)
empty
Study Protocol
empty
Statistical Analysis Plan
empty
Informed Consent Form
empty
Clinical Study Report
empty
Analytic Code
empty
Data Dictionary
empty
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