Evidence map›Paper›PMID 29386046›Full record

Trial reportBMC research notes2018

Factors associated with timing of umbilical cord clamping in tertiary hospital of Nepal.

Viktoria Nelin, Ashish Kc, Ola Andersson, Nisha Rana, Mats Målqvist

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in BMC research notes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Factors associated with umbilical cord clamping in term newborns.Revista da Escola de Enfermagem da U S P · 2022
    Article
  9. Observational
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 3 countries.

Viktoria NelinInternational Maternal and Child Health, Department of Women's and Children's Health, Uppsala University, University Hospital, 751 85, Uppsala, Sweden.
Ashish KcInternational Maternal and Child Health, Department of Women's and Children's Health, Uppsala University, University Hospital, 751 85, Uppsala, Sweden.
Ola AnderssonInternational Maternal and Child Health, Department of Women's and Children's Health, Uppsala University, University Hospital, 751 85, Uppsala, Sweden.
Nisha RanaInternational Maternal and Child Health, Department of Women's and Children's Health, Uppsala University, University Hospital, 751 85, Uppsala, Sweden.
Mats MålqvistInternational Maternal and Child Health, Department of Women's and Children's Health, Uppsala University, University Hospital, 751 85, Uppsala, Sweden. mats.malqvist@kbh.uu.se.ORCID http://orcid.org/0000-0002-8184-3530
Uppsala University Hospital · SEUnited Nations Children's Fund · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDelayed umbilical cord clamping (DCC) (≥ 60 s) is recognized to improve iron status and neurodevelopment compared to early umbilical cord clamping. The aim of this study is to identify current umbilical cord clamping practice and factors determining the timing of clamping in a low-resource setting where prevalence of anemia in infants is high.

resultsA cross-sectional study design including 128 observations of clinical practice in a tertiary-level maternity hospital in Kathmandu, Nepal. Overall 48% of infants received DCC. The mean and median cord clamping times were 61 ± 33 and 57 (38-79) s, respectively. Univariate analysis showed that infants born during the night shift were five times more likely to receive DCC (OR 5.6, 95% CI 1.4-38.0). Additionally, infants born after an obstetric complication were 2.5 times more likely to receive DCC (OR 2.5, 95% CI 1.2-5.3), and babies requiring ventilation had a 65% lower likelihood of receiving DCC (OR 0.35, 95% CI 0.13-0.88). Despite the existence of standard protocols for cord clamping and its proven benefit, the lack of uniformity in the timing of cord clamping reveals poor translation of clinical guidelines into clinical practice. Clinical trial registration ISRCTN97846009.

Indexed as

Delivery, ObstetricAnemia, Iron-DeficiencyConstrictionCross-Sectional StudiesFemaleHumansInfant, NewbornIronLive BirthMaleNepalPregnancyTertiary Care CentersTime FactorsUmbilical CordIronClinical practiceCord clampingNepalUmbilical cord

Identifiers

PMID29386046
PMCPMC5793403
OpenAlexW2787791425

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.