Evaluating the effects of cord milking versus clamping on infant development

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

Not applicable Interventional Nemours Children's Clinic · NCT03682042

This study is testing whether milking the umbilical cord instead of clamping it right away can help improve the development of babies born weak at birth.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment3442 (estimated)
Ages22 Months to 26 Months
SexAll
SponsorNemours Children's Clinic Academic / other
Locations9 sites (Belagavi, Karnataka and 8 other locations)
Trial IDNCT03682042 on ClinicalTrials.gov

What this trial studies

This trial is an extension of the CORDMILK trial, focusing on the neurodevelopmental outcomes of term and late preterm infants who were non-vigorous at birth. It compares the effects of umbilical cord milking (UCM) and early cord clamping (ECC) on survival and neurodevelopmental impairment. The assessment will be conducted using standardized neurological and developmental tools when the infants reach 22-26 months of age.

Who should consider this trial

Good fit: Ideal candidates are infants who were enrolled in the CORDMILK trial and were non-vigorous at birth.

Not a fit: Patients who were vigorous at birth or not enrolled in the CORDMILK trial may not receive any benefit from this study.

Why it matters

Potential benefit: If successful, this study could improve developmental outcomes for infants who are non-vigorous at birth.

How similar studies have performed: Previous studies have shown promising results with umbilical cord milking, suggesting potential benefits in similar approaches.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Enrolled in CORDMILK trial
* Non-vigorous at birth

Exclusion Criteria:

* None

Where this trial is running

Belagavi, Karnataka and 8 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Hypoxic-Ischemic EncephalopathyBirth AsphyxiaPlacental transfusion
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.