About this trial
The goal of this clinical trial is to evaluate if sustained cord circulation during resuscitation improves outcomes for term neonates born by emergency Cesarean section. The main question it aims to answer is: Does sustained cord circulation reduce admission rates to neonatal care?
Researchers will compare resuscitation with an uncut umblical cord to standard resuscitation practices to see if it provides better outcomes.
Participants (term neonates born by emergency Cesarean section) will:
Receive resuscitation with either sustained cord circulation or standard care Be monitored for admission to neonatal care and other predefined health outcomes
Eligibility criteria
Qualifiers
Singleton neonate
Born alive
Gestational age ≥37 weeks
Born by emergency cesarean section, epidural/spinal anesthesia, where the pediatric/neonatal team has been called for to attend.
Disqualifiers
Major congenital malformation that may affect resuscitation or outcome measures.
Major genetic disorder that may affect resuscitation or outcome measures.
Trial design
Treatments tested in this trial
- Sustained cord (≥ 180 seconds) resuscitation
- Routine (< 60 seconds) cord clamping
Treatment groups
Sponsors and collaborators
Region Skane
Lead sponsor
Region Stockholm
Collaborator