Neonatal Resuscitation with Intact Cord /NRIC

Background

The American College of Gynecologist and Obstetricians (ACOG) recommends delaying cord clamping for premature infants for at least 30 seconds after birth. One of the risks of being born prematurely can be bleeding in the brain. A delay in clamping the umbilical cord has been shown to reduce risk of bleeding in the brain, as well as improve circulation at birth. Premature babies often need assistance with breathing at birth. Currently, this is only done after the umbilical cord is clamped and cut. We hypothesize that there may be even more benefit to premature infants if they receive ventilation while receiving delayed cord clamping. Both delayed cord clamping and providing help with breathing (ventilation) are the usual standard of care. The experimental part of the study is that your baby will be randomized (like flipping a coin) to either receive delayed cord clamping (DCC) or delayed cord clamping with ventilation (V-DCC) at birth.

Purpose

To determine whether providing help with breathing during delayed cord clamping increases the amount of blood newborns receives from the placenta, improves the transition of the premature infant to life outside of the uterus, and decreases the risk of bleeding in the brain.

Read more about NRIC at clinicaltrials.gov

Who to contact if you want more information

The Research Team will be contacting you regarding your interest in this study. 

You may also contact the Sharp Mary Birch Neonatal Intensive Care Unit (NICU) at: 858 939-4298, or NICU Research Offices at:  858 939-4112