Effect of Umbilical Cord Milking versus Delayed Cord Clamping on Selected Hematological and Clinical Parameters in Preterm Neonates at Kenyatta National Hospital: Randomized Controlled Trial.

INTERVENTION: delayed cord clamping umbilical cord milking CONDITION: ; anaemia anaemia PRIMARY OUTCOME: 3. Determine the incidence rate of neonatal jaundice within the first week of life. Determine and compare the mean haemoglobin and haematocrit values at 24 hours of life. Determine the incidence rate of neonatal polycythemia at 24 hours of life. SECONDARY OUTCOME: Determine the incidence rate of neonatal anaemia within the first 24 hours of life. primary post partum haemorrhage INCLUSION CRITERIA: ¿Mother‐baby pairs between 28 to <37 weeks gestational age. Gestational age will be confirmed by use of Last Menstrual Period dating or if available a first trimester ultrasound scan will be used. After delivery a Ballard score will be done at 24 hours to ascertain gestational age. ¿Spontaneous or provider initiated preterm births. ¿Women who provide Informed consent.