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Active, Not Recruiting

NCT Number: NCT03682042

Comparative Outcomes Related to Delivery-room Cord Milking In Low-resourced Kountries Developmental Follow Up

An extension of the CORDMILK trial, the CORDMILK follow-up trial will evaluate the neurodevelopmental outcomes at 22-26 months age of term/late preterm infants who were non-vigorous at birth and received umbilical cord milking (UCM) or early cord clamping (ECC).

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Age range

22 month–26 month

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

KLE Academy of Higher Education and Research (Deemed-to-be-University) Jawaharlal Nehru Medical College, Belagavi, Karnataka, India

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About this study

The CORDMILK Follow-up trial will examine the difference in survival and neurodevelopmental impairment of infants who were non-vigorous at birth and enrolled in the CORDMILK trial. The difference in survival and neurodevelopmental impairment in infants who received UCM and ECC will be assessed using standardized neurological and developmental assessment tools at 22-26 months of age.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Enrolled in CORDMILK trial
  • Non-vigorous at birth

Exclusion criteria

  • None

Treatment and study plan

Umbilical Cord Milking

Other

At delivery, the umbilical cord is grasped, and blood is pushed toward the infant 4 times before the cord is clamped. This procedure infuses a placental transfusion of blood into the infant and can be done in 10-15 seconds.

Primary outcomes

  1. Neurodevelopmental Outcome at 2 Years of Age

    Time frame: 22-26 months

    Neurodevelopmental assessment will be performed by the trained and experienced examiner who will be blinded to the interventions.

    Severe neurodevelopmental impairment will be defined having at least one of the following: BSID (IV) composite cognitive score <70, GMFCS level 3-5, blindness (vision <20/200), or hearing impairment requiring hearing aids/cochlear implant. Moderate neurodevelopmental impairment will be defined as having a cognitive composite score 70-84, GMFCS level 2, unilateral blindness (vision/20/200 in only one eye), or hearing impairment with no amplification/cochlear implant.

Secondary outcomes

  1. Neurodevelopmental Outcome at 1 Year of Age

    Time frame: 10-14 months

    Neurodevelopmental assessment will be performed by the trained and experienced examiner who will be blinded to the intervention using the Developmental Assessment Scales for Indian Infants (DASII). DAASI provides developmental motor quotient (DMoQ), developmental mental quotient (DMeQ), and composite developmental quotient (DQ). With a mean DQ of 100 and standard deviation (SD) of 15, 1SD and 2SD below mean correspond to DQ of 85 and 70, respectively. A DMoQ, DMeQ or DQ score of <70 (2SD) is considered as neurodevelopmental impairment.

Sponsors and collaborators

Lead sponsor

Nemours Children's Clinic

Other

Collaborators

  • All India Institute of Medical Sciences
  • Daga Memorial Maternity and Children's Hospital, Nagpur, India
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
  • Government Medical College, Nagpur
  • Indira Gandhi Government Medical College & Hospital, Nagpur, India
  • KLE Academy of Higher Education and Research (Deemed- to- be-University), Jawaharlal Nehru Medical College (JNMC), Belagavi, India
  • Karnataka Institute of Medical Sciences, Hubbali, India
  • Mahatma Gandhi Institute of Medical Sciences
  • Pimpri Chinchwad Municipal Corporation's Post-Graduate Institute, Yashwantrao Chavan Memorial Hospital, Pune, India
  • Sharp HealthCare
  • St. Louis University
  • Thomas Jefferson University
  • University of California, San Diego

Registry information

Official study title

A Cluster Randomized Clinical Trial of Umbilical Cord Milking Versus Early Cord Clamping on Short and Long-term Outcomes in Neonates Who Are Non-Vigorous at Birth

Acronym: CORDMILK-FU

Important dates

Study start
2022
Primary completion
2027
Study completion
2027
First posted
Sep 24, 2018
Registry last updated
Jul 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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