Actively Recruiting

Phase Not Applicable
Age: 1Minute - 2Minutes
All Genders
Healthy Volunteers
ID06812507

Evaluation of Placental Transfusion Techniques in Prevention of Prematurity Related Complications and Effect on Their Hematological Profile

Led by Alexandria University · Updated on 2026-01-16

160

Participants Needed

1

Research Sites

4 weeks

Total Duration

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AI-Summary

What this Trial Is About

Researchers are evaluating different methods of placental transfusion in premature newborns to understand their effects on early life outcomes and blood health. The study focuses on premature infants born at or before 32 weeks gestational age, assessing how various transfusion techniques may influence their first days of life and overall prognosis. The trial compares three procedures: intact umbilical cord milking, where the cord is milked toward the baby several times before clamping; cut umbilical cord milking, involving clamping and cutting a long cord segment and milking the blood into the baby; and delayed cord clamping, where the cord is clamped after a 30- to 60-second delay with the baby placed below placenta level. A control group will not receive any placental transfusion method. Participants will be admitted to the neonatal intensive care unit within their first day of life. Researchers will measure hemoglobin levels at admission and at the end of the first, second, and third weeks of life to assess blood health. The study is randomized and open-label, with no masking. The total participation period includes monitoring through the first three weeks after birth to evaluate the effects of the transfusion methods on premature infants' hematological profiles and related complications.

CONDITIONS

Brief Title

Evaluation of Placental Transfusion Techniques in Prevention of Prematurity Related Complications and Effect on Their Hematological Profile

Who Can Participate

Age: 1Minute - 2Minutes
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Premature neonates born at or before 32 weeks gestational age regardless of birth weight
  • Admitted to neonatal intensive care unit within the first day of life
Not Eligible

You will not qualify if you...

  • Major congenital anomalies such as complex cyanotic heart disease or major central nervous system anomalies
  • Head trauma causing major intracranial hemorrhage
  • Placental abnormalities including abruptions, placenta previa, or retroplacental hematoma
  • Cord accident or avulsion at delivery
  • Refusal by the obstetrician to perform the intervention

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - At birth

Participants receive one of the placental transfusion techniques immediately after birth: intact umbilical milking, cut umbilical milking, delayed cord clamping, or no intervention as a control.

1 procedure (in-person)

Follow-up

Duration - Up to 3 weeks after birth

Participants are monitored for hematological profile and prematurity related complications during their first three weeks of life.

Visits on admission and at the end of the first, second, and third weeks

Trial Site Locations

Total: 1 location

1

Marwa Mohamed Farag

Alexandria, Egypt, 0325

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

4

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