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New study tests if waiting for the placenta before clamping the cord benefits mothers and babies

NCT ID NCT07713277

Knowledge-focused Sponsor: Azienda ULSS 8 Berica Source: ClinicalTrials.gov ↗

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Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing This study
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
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Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jul 20, 2026 · Last updated Jul 21, 2026 · Updated 1 time

Summary

This study compares two approaches to umbilical cord clamping after vaginal birth: standard delayed clamping (waiting 1–3 minutes) versus waiting until the placenta is naturally expelled before clamping. The goal is to see which method leads to better outcomes for both mother and baby, including blood loss, need for phototherapy, and newborn weight changes. About 2,000 healthy mothers with single, full-term pregnancies will take part.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

What this could lead to
If this trial shows that waiting to clamp the cord until after the placenta is delivered is safe and beneficial, it could change standard childbirth practices to improve newborn iron levels and reduce complications.
What could go wrong
This is an observational study comparing two existing practices, not a test of a new drug or device. Results may show no clear advantage, and the risk of postpartum hemorrhage or retained placenta must be carefully weighed.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Participants

About 1,979 people

The number the study aims to enrol. It can still change while the study runs.

Started

Apr 2026

Expected to finish

Jul 2027

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Who is studied

The target population consists of women at full term, who have had a vaginal delivery, and healthy newborns without perinatal complications. The target population also includes late-preterm infants and those with intrauterine growth restriction (IUGR) who have normal fetal Doppler

Ages

18 years and older

Sex

Female participants only

Healthy volunteers

Accepted

You do not need to have the condition being studied to take part.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Singleton pregnancy (≥34+0 weeks of gestation). * Spontaneous eutocic vaginal delivery. * Healthy newborn with a birth weight of ≥2500 grams (appropriate for gestational age). * Informed consent signed by both the patient and her partner. Exclusion Criteria: * Maternal Medical Conditions * Chronic or Pregnancy-Induced Hypertensive Disorders: Including chronic hypertension, pre-eclampsia, and HELLP syndrome. * Systemic Diseases: Pre-existing autoimmune diseases, significant cardiovascular diseases, or metabolic disorders that may interfere with placental function. * Haematological Disorders: Known maternal coagulopathies, severe anaemia (Haemoglobin \< 8 g/dL), or other blood dyscrasias. * Obstetric Complications and Emergencies * Placental Anomalies: Suspected or confirmed placental abruption, placenta previa, or morbidly adherent placenta (accreta/increta/percreta). * Acute Intrapartum Complications: Umbilical cord prolapse, suspected chorioamnionitis (intra-amniotic infection), or significant antepartum haemorrhage. * Operative or Instrumental Delivery: Any requirement for urgent operative vaginal delivery (vacuum or forceps) or conversion to Emergency Caesarean Section. * Pre-existing Risk for PPH: History of severe Postpartum Haemorrhage in previous pregnancies. * Neonatal Factors * Acute Neonatal Distress: Requirement for immediate neonatal resuscitation at birth that precludes waiting for placental expulsion. * Congenital Anomalies: Presence of major congenital malformations or chromosomal abnormalities.

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Conditions

The condition(s) this trial relates to.

Postpartum Hemorrhage

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Delayed cord clamping Intact cord placental delivery Postpartum hemorrhage (primary) Standard delayed cord clamping Timing of cord clamping

Contacts and locations

Locations

  • Ospedale San Bortolo

    Vicenza, Vicenza, 36100, Italy

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