Evidence map›Paper›PMID 26226248›Full record

Trial reportJournal of perinatology : official journal of the California Perinatal Association2015

Effect of 40-cm segment umbilical cord milking on hemoglobin and serum ferritin at 6 months of age in full-term infants of anemic and non-anemic mothers.

R Bora, S S Akhtar, A Venkatasubramaniam, J Wolfson, R Rao

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of perinatology : official journal of the California Perinatal Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% of its field
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Umbilical cord milking versus delayed cord clamping in term infants: a systematic review and meta-analysis.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Pooled it
  2. Trial
  3. Trial
  4. Umbilical cord milking for neonates who are depressed at birth: a randomized trial of feasibility.Journal of perinatology : official journal of the California Perinatal Association · 2018
    Trial
  5. Trial
  6. Article
  7. Review
  8. Anemia, Iron Supplementation, and the Brain.Clinics in perinatology · 2023
    Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. [Association between iron deficiency and brain developmental disorder in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2018
    Article
  15. Whole blood volumes associated with milking intact and cut umbilical cords in term newborns.Journal of perinatology : official journal of the California Perinatal Association · 2018
    Article
  16. Review
  17. Article
  18. Review
  19. Umbilical Cord Milking: A Review.Frontiers in pediatrics · 2018
    Review
  20. 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

5 authors at 2 institutions in 2 countries.

R BoraNeonatal Unit, Department of Pediatrics, Assam Medical College, Dibrugarh, Assam, India.
S S AkhtarNeonatal Unit, Department of Pediatrics, Assam Medical College, Dibrugarh, Assam, India.
A VenkatasubramaniamDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
J WolfsonDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
R RaoDivision of Neonatology, Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
University of Minnesota · USAssam Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effect of early clamping and milking of a 40-cm umbilical cord LUCM (long umbilical cord and milking) on hemoglobin (Hb) and serum ferritin concentrations at 6 months of age and to evaluate whether the effect is different in infants of anemic and non-anemic mothers. STUDY

designEligible term-infants of anemic (maternal Hb<11.0 g dl(-1)) and non-anemic mothers (Hb ⩾11.0 g dl(-1)) were randomized to LUCM or control groups (N=100 each). In the LUCM group, the umbilical cord was clamped at 40-cm length and milked. The control group had the cord clamped at 5 cm and not milked. Neonatal morbidities until discharge and Hb and serum ferritin at 6 months of age were compared. Effects in infants of anemic and non-anemic mothers were compared.

resultCompared with infants of non-anemic mothers, cord Hb was similar (14.50±1.90 g dl(-1) vs 14.67±1.73 g dl(-1)), but cord ferritin lower (85.8±55.4 ng ml(-1) vs 119.4±58.5 ng ml(-1), P<0.01) in infants of anemic mothers. Mean Hb concentration at 6 months was 9.60±1.42 g dl(-1) in the LUCM group and 9.07±1.10 g dl(-1) in the control group (P=0.004). Mean serum-ferritin concentration at 6 months was 113.9±43.8 ng ml(-1) in the LUCM group and 70.8±39.5 ng/ml in the control group (P<0.001). The effectiveness of LUCM did not vary with the maternal anemia status.

conclusionKeeping the umbilical cord long and milking may be an effective method for improving Hb and iron stores at 6 months of age in term-infants.

Indexed as

AdultAnemia, Iron-DeficiencyAnimalsConstrictionFemaleFerritinsHemoglobinsHumansIndiaInfantInfant, NewbornLinear ModelsMalePilot ProjectsPostpartum PeriodTerm BirthFerritinsHemoglobins

Identifiers

PMID26226248
OpenAlexW2269541138

What OpenQuestion holds

Textmetadata
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.