Evidence map›Paper›PMID 29997897›Full record

ArticleMaternal health, neonatology and perinatology2018

Delayed cord clamping during elective cesarean deliveries: results of a pilot safety trial.

Caroline J Chantry, Aubrey Blanton, Véronique Taché, Laurel Finta, Daniel Tancredi

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Maternal health, neonatology and perinatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02229162 (Delayed Umbilical Cord Clamping For Term Infants), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 13% 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.

NCT02229162 completednot on this map

Delayed Umbilical Cord Clamping For Term Infants: A Pilot Safety Trial During Cesarean Deliveries

TypeobservationalSponsorUniversity of California, DavisRan2013 to 2014Enrolled41ConditionsCesarean Sections
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 31 citations in OpenAlex.

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  8. Maternal implications of placental transfusion.Seminars in perinatology · 2023
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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 1 institution in 1 country.

Caroline J Chantry1Department of Pediatrics, University of California Davis Medical Center, 2516 Stockton Blvd, Sacramento, CA 95817 USA.ORCID 0000-0002-1437-317X
Aubrey Blanton2Obstetrics and Gynecology, University of California Davis Medical Center, Sacramento, CA USA.
Véronique Taché2Obstetrics and Gynecology, University of California Davis Medical Center, Sacramento, CA USA.
Laurel Finta2Obstetrics and Gynecology, University of California Davis Medical Center, Sacramento, CA USA.
Daniel Tancredi1Department of Pediatrics, University of California Davis Medical Center, 2516 Stockton Blvd, Sacramento, CA 95817 USA.
University of California Davis Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelayed cord clamping (DCC) results in decreased iron deficiency in infancy. The American College of Obstetrics and Gynecology has called for research on the optimal time to clamp the cord during cesarean deliveries (CD). Our objective was to conduct a pilot trial examining the safety of delayed cord clamping (DCC) for maternal-infant dyads during elective cesarean delivery (CD).

methodsWe enrolled 39 dyads [23 at 90 s, 16 at 120 s; (DCC Pilot)] between 10/2013 and 9/2014. We abstracted data from the electronic medical record (EMR) for historical controls (HC) birthing between 1/2012-6/2013 for whom DCC was not performed (

resultsAvailable data for 37 mothers and 30 infants compared to HC revealed 174 (95% CI: 61-286) mL lower mean estimated maternal blood loss [(EBL) mean (SD) mL]: DCC Pilot 691(218) vs. HC 864(442),

conclusionsThese pilot data suggest cord clamping can be delayed to 120 s during elective CD without increased risk of excessive maternal blood loss. More aggressive prevention of infant heat loss may be warranted. A randomized trial to evaluate long-term maternal and infant outcomes is indicated.

trial registrationClinical trials.gov, NCT02229162; registered: 1 September, 2014.

Indexed as

Delayed cord clampingElective cesarean deliveryMaternal blood lossNewbornSafety pilot

Identifiers

PMID29997897
PMCPMC6031144
OpenAlexW2807554315

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.