About this trial
This study will assess the feasibilty measuring cerebral oxygen saturations using a Near Infrared Spectroscopy (NIRS) monitor immediately after delivery of preterm infants. The investigators aim to evaluate the effects of optimum cord management on cerebral oxygenation in this cohort
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All babies eligible for optimum cord management born before 34 completed weeks gestational age
Parental consent
Disqualifiers
Multiple pregnancies
Infants for whom resuscitation at birth is not appropriate
Antenatal or immediate postnatal diagnosis of severe congenital anomaly
Infants with complex congenital cardiac disease
Trial population
Preterm infants born at less than 34 completed weeks gestational age at Queen Charlotte and Chelsea Hospital (London) undergoing optimum cord management during birth
Trial design
Cohort
Prospective
Treatments tested in this trial
Cerebral NIRS monitoring at delivery
Other interventionApplication of cerebral NIRS monitoring immediately after delivery and during optimum cord management
Treatment groups
Trial outcomes
Primary outcomes
Feasibility of regional cerebral saturation (rSO2 in %) monitoring using NIRS during optimum cord
Feasibility of regional cerebral saturation (rSO2 in %) monitoring using NIRS during optimum cord management in preterm infants
Secondary outcomes
Arterial saturation (SaO2 in %) monitoring
Evaluating the effect of optimum cord management on SaO2
Oxygenation (FiO2 in %) during stabilisation
Evaluating the effect of preterm stabilisation including optimum cord management on FiO2 (%)
Sponsors and contacts
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