Overview

The objective of this study is to evaluate the general course and prognosis associated with different methods of placental transfusion (Intact umbilical cord milking, cutumbilical cord milking and delayed cord clamping) in premature neonates over the first days of life

Eligibility

• Inclusion Criteria:
  1. Premature neonates ≤ 32 weeks gestational age regardless birth weight
  2. patients should be admitted to neonatal intensive care unit in the first day of life of life

Exclusion criteria:

• Exclusion Criteria:

Patient with any of the following will be excluded:

1. Major congenital anomalies (complex cyanotic heart disease, major central nervous system anomalies).
2. Evidence of head trauma causing major intracranial hemorrhage.
3. placental abnormalities like : abruptions, placenta previa or retroplacental hematoma.
4. Cord accident, or avulsion at the time of delivery.
5. Refusal to perform the intervention by the obstetrician