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MOCC Group for Premature Baby (MOCC Trial)
N/A
Waitlist Available
Led By Walid El-Naggar
Research Sponsored by IWK Health Centre
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be younger than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up till the participants reach 2 year- corrected age (around 4.5 years)
Awards & highlights
MOCC Trial Summary
This trial is testing whether milking the cord while resuscitating a preterm infant is more effective than the current standard of delayed cord clamping.
Eligible Conditions
- Premature Baby
MOCC Trial Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ two years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~two years
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Number of adverse events associated with the MOCC intervention
Number of patients completing the study
Rate of compliance to the study intervention
Secondary outcome measures
Compare hemoglobin (Hgb) concentration
Other outcome measures
Blood Transfusion
Cerebral oxygenation
Inotropic support
+5 moreMOCC Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: MOCC GroupExperimental Treatment1 Intervention
The OB provider will hold the baby at/below the placenta, provide warmth, stimulate the baby and suction the mouth/nose for 30 secs.S/He will then clamp and cut the cord about 5 cm from the the introitus (vaginal deliveries) or from the abdominal incision (C-Sections) before handing the baby with the long-cut cord to the neonatal team to resuscitate/ stabilize the baby. A member of the neonatal team will milk the long-cut cord slowly 1 time from the cut end toward the infant over 10 secs before clamping and cutting the cord 1-2 cm from the umbilical stump. The neonatal team will provide PPV to the baby (during the milking process) if the baby is not breathing. If the baby is breathing during the milking process the team will continue the stabilization as per standard NRP practice.
Group II: DCC groupActive Control1 Intervention
The OB provider will hold the baby at or below the level of placenta, provide warmth, stimulate the baby to breathe and suction the mouth/nose if needed for the first 30 seconds.
After these initial 30 seconds, if the baby is breathing then the obstetrician will continue DCC for a total of 60 seconds before clamping and cutting the cord close to the umbilicus and handing over the baby to the neonatal team for further stabilization as per standard NRP practice. If the baby is not breathing after the initial 30 seconds of DCC, then the OB provider will clamp and cut the cord close to the umbilicus and hand over the baby to the neonatal team to continue resuscitation of the baby as per the standard NRP guidelines.
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Who is running the clinical trial?
IWK Health CentreLead Sponsor
125 Previous Clinical Trials
100,375 Total Patients Enrolled
Walid El-NaggarPrincipal InvestigatorIWK Health Centre
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Does this clinical trial have any open positions for participants?
"The study is still recruiting patients, according to the clinicaltrials.gov website. The posting for the trial went up on 2/7/2019 and was last edited on 2/21/2019."
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