Evidence map›Paper›PMID 24903454›Full record

ArticleArchives of disease in childhood. Fetal and neonatal edition2014

Barriers to deferred cord clamping in preterm infants.

Sam Oddie, Penny Rhodes, Very Preterm Birth Qualitative Collaborative Group

Abstract readMulticenter Study
In one paragraph

Article in Archives of disease in childhood. Fetal and neonatal edition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Timing of umbilical cord clamping among infants born at 22 through 27 weeks' gestation.Journal of perinatology : official journal of the California Perinatal Association · 2016
    Trial
  3. Care of the Newborn and Cord During the Third Stage of Labour (Scientific Impact Paper No. 78).BJOG : an international journal of obstetrics and gynaecology · 2026
    Review
  4. Factors associated with rates and durations of cord clamping practice compliance in preterm neonates of <33 weeks' gestation.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  5. Article
  6. Article
  7. Placental transfusion: a review.Journal of perinatology : official journal of the California Perinatal Association · 2017
    Review
  8. Steps for implementing delayed cord clamping in a hospital setting.Maternal health, neonatology and perinatology · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sam OddieDepartment of Bradford Neonatology, Ward M1, Bradford Royal Infirmary, Bradford, UK.
Penny RhodesBradford Institute for Health Research, Bradford Royal Infirmary, Bradford, UK.
Very Preterm Birth Qualitative Collaborative Group

Funding

Department of Health RP-PG-0609-10107
6 · The paper itself

Abstract

objectivesTo describe the range of practices employed by units conducting deferred cord clamping at very preterm birth.

designQualitative study using semistructured interviews with neonatal doctors, nurses, midwives, obstetricians and managers in a sample of UK maternity units.

participants33 neonatal doctors, neonatal nurses, midwives, obstetricians and managers.

settingUK maternity units in 2012.

resultsFour key themes emerged. The first concerns the variation in guideline content, the absence of a practice of stabilisation with cord intact, and issues with implementing and maintaining changes in practice. The second concerns the challenges in assessing eligibility. The third concerns the competing priorities of delivering the intervention and proceeding with other stabilisation manoeuvres and the associated anxiety experienced by professionals. The final theme relates to the issue of uncertainty as to optimal treatment choices.

conclusionsThe evidence surrounding deferred cord clamping in very preterm infants is unclear. This study describes the reported practice of units deferring cord clamping in 2012 and will inform trial development.

Indexed as

Attitude of Health PersonnelConstrictionDelivery, ObstetricEnglandFemaleGuideline AdherenceHumansInfant, Extremely PrematureInfant, NewbornMalePerinatal CarePractice Guidelines as TopicProfessional PracticeTime FactorsUmbilical CordNeonatologyQualitative ResearchResuscitation

Identifiers

PMID24903454
PMCPMC4145419

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.