Prone Positioning During Delayed Cord Clamping

Description

Delayed cord clamping is a routine technique used in the delivery room. The baby remains attached to the umbilical cord and placenta for 30-60 seconds after birth to allow for maximal transfer of oxygen and blood to the newborn. This study seeks to determine the best position (on the back versus on the belly) for the newborn during the 30-60 seconds of delayed cord clamping.

Conditions

Delayed Cord Clamping

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Study Overview

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Study Details

Study overview

Delayed cord clamping is a routine technique used in the delivery room. The baby remains attached to the umbilical cord and placenta for 30-60 seconds after birth to allow for maximal transfer of oxygen and blood to the newborn. This study seeks to determine the best position (on the back versus on the belly) for the newborn during the 30-60 seconds of delayed cord clamping.

Prone Positioning During Delayed Cord Clamping: A Randomized Control Pilot Study to Identify Optimal Neonatal Positioning During Delayed Cord Clamping

Prone Positioning During Delayed Cord Clamping

Condition
Delayed Cord Clamping
Intervention / Treatment

-

Contacts and Locations

Baltimore

Johns Hopkins University, Baltimore, Maryland, United States, 21287

Pittsburgh

West Penn Hospital-Allegheny Health Network, Pittsburgh, Pennsylvania, United States, 15224

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Pregnant patient admitted for diagnosis that could result in a preterm delivery
  • * Anticipated gestational age of delivery could be between 25w+0d - 29w+6d
  • * Fetus without major anomalies or known genetic condition that could impact respiratory status or need for intubation at birth
  • * Singleton or twin gestation
  • * Neonate eligible for delayed cord clamping based on institutional protocol
  • * Patient is able to understand study procedures and is willing and able to consent
  • * Triplet or higher order gestation
  • * Maternal or fetal/neonatal contraindication to delayed cord clamping
  • * Major fetal anomaly that would be expected to impact delivery room intubation rates such as:
  • * Major congenital cardiac defect (not isolated atrial septal defect/ventricular septal defect)
  • * Significant fetal arrhythmia at the time of delivery
  • * Fetal tumor
  • * Renal anhydramnios (not isolated urinary tract dilation with normal fluid)
  • * Congenital Diaphragmatic Hernia
  • * Heterotaxy
  • * Moderate to severe ventriculomegaly or other major brain malformation (not mild isolated ventriculomegaly)
  • * Airway obstruction
  • * Underlying genetic disease that could impact respiratory function at delivery
  • * Arthrogryposis (not apparently isolated clubbed foot)
  • * Skeletal dysplasia
  • * Pregnant patient is unable to understand study materials or is unwilling or unable to consent
  • * Acute maternal obstetric emergency that precludes time or maternal focus for the consent process to take place

Ages Eligible for Study

18 Years to 55 Years

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

No

Collaborators and Investigators

Johns Hopkins University,

Mara Rosner, MD, PRINCIPAL_INVESTIGATOR, Johns Hopkins University

Study Record Dates

2028-08