"The Effect of the Cord Clamping Bundle at Birth Developed With the Delphi Method on Maternal and Newborn Outcomes" (Cord Clamping)
This clinical trial aims to evaluate the effects of a cord clamping bundle developed through the Delphi method on maternal and neonatal outcomes. The study population consists of primiparous women with singleton term pregnancies (37-42 weeks of gestation) who undergo vaginal delivery, along with their healthy newborns.
The primary research questions are:
Does the Delphi-based cord clamping bundle improve maternal and neonatal physiological outcomes? Does the Delphi-based cord clamping bundle enhance mother-infant bonding and breastfeeding success?
Comparison Group:
Researchers will compare the intervention group, in which the cord clamping bundle is implemented, with the control group receiving routine clinical care to determine the effects of the intervention on maternal and neonatal outcomes.
Participant Involvement:
Participants will provide written and verbal informed consent and complete a personal information form. Following delivery, participants will receive either the cord clamping bundle intervention or routine care according to their assigned group. Data collection will be conducted within the first 24 hours postpartum and will include:
Maternal and neonatal physiological parameters Breastfeeding success assessed using the LATCH Breastfeeding Assessment Tool Mother-infant bonding assessed using the Mother-to-Infant Bonding Scale Amount of postpartum bleeding Placental separation time Time to initiation of breastfeeding Length of hospital stay after delivery.
研究概览
地位
详细说明
This study aims to evaluate the effects of a cord clamping bundle developed using the Delphi technique on maternal and neonatal outcomes following term vaginal birth. The bundle was developed based on expert consensus to standardize cord clamping practices during the immediate postpartum period.
The study will be conducted among primiparous women with singleton term pregnancies who undergo vaginal delivery and their healthy newborns. Participants will be assigned to either an intervention group receiving the cord clamping bundle or a control group receiving routine cord clamping care according to hospital practice.
Maternal and neonatal physiological outcomes, breastfeeding success, mother-infant bonding, postpartum bleeding, placental separation time, time to initiation of breastfeeding, and length of hospital stay will be evaluated within the first 24 hours after birth. Breastfeeding success will be assessed using the LATCH Breastfeeding Assessment Tool, and mother-infant bonding will be assessed using the Mother-to-Infant Bonding Scale. The findings are expected to contribute to evidence-based cord clamping practices and improve maternal and neonatal care outcomes.BizChat hakkında geri bildirim gönderin
研究类型
注册 (估计的)
阶段
- 不适用
参与标准
资格标准
适合学习的年龄
- 成人
接受健康志愿者
描述
Inclusion Criteria:
Primiparous women Singleton pregnancy Term pregnancy (37-42 weeks of gestation) Vaginal delivery Healthy newborn Mother and newborn discharged together Age 18 years or older Willingness to participate and provide written informed consent
Exclusion Criteria:
High-risk pregnancy Maternal chronic disease Maternal or neonatal conditions affecting breastfeeding Newborn with intrauterine growth restriction (IUGR) Newborn with a genetic disorder or congenital anomaly Operative or assisted vaginal delivery requiring obstetric intervention Refusal to participate or withdrawal from the study Incomplete study data or inability to complete outcome assessments
学习计划
研究是如何设计的？
设计细节
- 主要用途：其他
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：Cord Clamping Bundle Group
Experimental Arm (Cord Clamping Bundle Group) Intervention: Delphi-Based Cord Clamping Bundle Participants in this arm will receive the Delphi-based cord clamping bundle. The bundle includes preparation of sterile materials, delayed cord clamping until cord pulsations cease (at least 1-3 minutes), cord clamping with a sterile umbilical clamp, cutting the cord 4-5 cm from the skin using sterile scissors, and maintaining dry cord care. |
A standardized cord clamping bundle developed through the Delphi technique based on expert consensus.
The intervention includes preparation of sterile materials, delayed umbilical cord clamping until cord pulsations cease (at least 1-3 minutes after birth), sterile cord clamping and cutting, and maintenance of dry cord care.
|
|
有源比较器：Routine Cord Clamping Group
Routine umbilical cord clamping and postpartum care provided according to the hospital's standard clinical practice without implementation of the cord clamping bundle.
|
Routine umbilical cord clamping and postpartum care provided according to the hospital's standard clinical practice without implementation of the cord clamping bundle.
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Mother-Infant Bonding
大体时间：First 24 hours after birth
|
Mother-infant bonding assessed using the Mother-to-Infant Bonding Scale.
|
First 24 hours after birth
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Mother-Infant Bonding
大体时间：First 24 hours after birth
|
Mother-infant bonding assessed using the Mother-to-Infant Bonding Scale.
|
First 24 hours after birth
|
其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Neonatal Hemoglobin Level (if measured)
大体时间：First 24 hours after birth
|
Neonatal hemoglobin concentration. Unit of Measure: g/dL |
First 24 hours after birth
|
|
Neonatal Hematocrit Level (if measured)
大体时间：First 24 hours after birth
|
Neonatal hematocrit percentage.
Unit of Measure: %
|
First 24 hours after birth
|
合作者和调查者
出版物和有用的链接
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- CSCH-2025-290
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)？
IPD 计划说明
药物和器械信息、研究文件
研究美国 FDA 监管的药品
研究美国 FDA 监管的设备产品
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.