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Strategy of prevention for neurodevelopmental disorders due to umbilical autologous cord transfusion in premature infants

Research Project

Project/Area Number 26461649
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Embryonic/Neonatal medicine
Research InstitutionNihon University

Principal Investigator

HOSONO Shigeharu  日本大学, 医学部, 准教授 (50339339)

Co-Investigator(Kenkyū-buntansha) 渕上 達夫  日本大学, 医学部, 准教授 (60201753)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords超早産児 / 胎盤血輸血 / 臍帯ミルキング / 臍帯遅延結紮 / 神経学的予後 / 脳性麻痺 / 精神発達遅滞 / 幹細胞 / 神経学的後障害 / 早産児 / 輸血
Outline of Final Research Achievements

We evaluated the effect of one-time umbilical cord milking on 3-year neurodevelopment outcome in premature infants born less than 28 weeks of gestation compared with early umbilical cord clamping by using randomized controlled trial. At 3-year, we could follow the 112 infants (57 in the umbilical cord milking group, 55 in the early cord clamping group). The incidence of cerebral palsy and Gross Motor Function Classification score ≧ 1 were significantly lower in the umbilical cord milking group compared with in the early cord clamping group. Mean values of the developmental quotient (DQ) by using New Kyoto Scale of Psychological Development were simillar between the two groups, but The incidence of DQ <70 in the milking group was lower compared with the early cord clamping group.
One-time umbilical cord milking might be useful for prevention of neurodevelopment disputers in premature infants without both interrupting resuscitation and additional cost.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (10 results)

All 2017 2016 2015 Other

All Int'l Joint Research (2 results) Journal Article (1 results) (of which Peer Reviewed: 1 results,  Acknowledgement Compliant: 1 results) Presentation (7 results) (of which Int'l Joint Research: 4 results,  Invited: 1 results)

  • [Int'l Joint Research] University of Nottingham/School of Medicine/Nottingham Clinical Trials Unit(英国)

    • Related Report
      2016 Annual Research Report
  • [Int'l Joint Research] Nottingham Clinical Trials Unit/Nottingham Health Science Partners/Queens Medical Centre(英国)

    • Related Report
      2015 Research-status Report
  • [Journal Article] One-time umbilical cord milking after cord cutting has same effectiveness as multiple-time umbilical cord milking in infants born at o29 weeks of gestation: a retrospective study2015

    • Author(s)
      Hosono S, MugishimH, Takahashi S, Takahashi S, Masaok N, Yamamoto T, Tamura M
    • Journal Title

      Journal of Perinatology

      Volume: 35 Issue: 8 Pages: 1-5

    • DOI

      10.1038/jp.2015.15

    • Related Report
      2015 Research-status Report 2014 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] Umbilical cord milking and short- and long-term neurological outcome2017

    • Author(s)
      Hosono S, Tamura M, Hirano M, Mori R, Kusuda S, Fujimura M
    • Organizer
      5th Neonatal Resuscitation Research Workshop
    • Place of Presentation
      Napa Valley, CA USA
    • Year and Date
      2017-05-09
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Effect of one-time umbilical cord milking on neurodevelopmental outcomes at 3 years for Infants born at less than 28 weeks of gestation; A randomized control trial.2017

    • Author(s)
      Hosono S, Tamura M, Hirano M, Mori R, Kusuda S, Fujimura M
    • Organizer
      Pediatric Academic Societies Meeting 2017
    • Place of Presentation
      San Francisco, CA USA
    • Year and Date
      2017-05-06
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Eighteen-month corrected age developmental outcomes of in extremely preterm infants enrolled in a randomized controlled trial of one-time umbilical cord milking versus immediate cord clamping. Randomized controlled trial.2016

    • Author(s)
      Hosono S, Tamura M, Hirano S. Mori R, Kusuda S, Fujimura M
    • Organizer
      2016 Pediatric Academic Societies Annual Meeting
    • Place of Presentation
      Baltimore USA
    • Year and Date
      2016-05-03
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 早産児における臍帯切離後の臍帯ミルキング1回法の効果 多施設共同研究2015

    • Author(s)
      細野茂春, 田村正徳, 平野慎也, 森臨太郎, 楠田聡, 藤村正哲
    • Organizer
      第51回日本周産期・新生児医学会
    • Place of Presentation
      ヒルトン福岡シーホーク (福岡県福岡市)
    • Year and Date
      2015-07-12
    • Related Report
      2015 Research-status Report
  • [Presentation] One-Time Umbilical Cord Milking After Cord Cutting Reduces the Need for Red Blood Cell Transfusion and Reduces the Mortality Rate in Extremely Preterm Infants; A Multicenter Randomized Controlled Trial2015

    • Author(s)
      Hosono S
    • Organizer
      The Cord Clamping and Other Measures to Influence Placental Transfusion at Preterm Birth Collaborators' Meeting
    • Place of Presentation
      SanDiego (USA)
    • Year and Date
      2015-04-28
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] One-time Umbilical Cord milking in extremely premature infants in Japan Study2015

    • Author(s)
      Hosono S, Tamura M, HIrano S, Mori R, Kusuda S, Fujimura M
    • Organizer
      2015 Pediatrics Academic Societies Annual Meeting
    • Place of Presentation
      SanDiego (USA)
    • Year and Date
      2015-04-26
    • Related Report
      2014 Research-status Report
  • [Presentation] One-time umbilical cord milking after cord cutting reduces the need for red blood cell transfusion and reduces the mortality rate in extremely low birth weight infants. A multi center randomized controlled trial.2015

    • Author(s)
      Hosono S, Tamura M, Hirano S. Mori R, Kusuda S, Fujimura M
    • Organizer
      2015 PediatricAcademic Societies Annual meeting
    • Place of Presentation
      SanDiego USA
    • Year and Date
      2015-04-25
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research

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Published: 2014-04-04   Modified: 2025-11-19  

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