Evidence map›Paper›PMID 30159064›Full record

ArticleOpen access Macedonian journal of medical sciences2018

Early Versus Delayed Umbilical Cord Clamping on Physiologic Anemia of the Term Newborn Infant.

Fatma Alzaree, Ahmed Elbohoty, Mohamed Abdellatif

2 registry-linked trialsOpen access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Open access Macedonian journal of medical sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.7field-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.

NCT03878602 nacompletednot on this map

Delayed Umbilical Cord Clamping in Elective Caesarean Section: What Are the Benefits

TypeinterventionalSponsorFondazione Poliambulanza Istituto OspedalieroRan2018 to 2019Enrolled142ConditionsDelayed Cord ClampingArmsDelayed umbilical cord clamping, Immediate umbilical cord clamping
NCT06000800 nacompletednot on this mapstarted 2021, after this paper: background citation

Timing of Umbilical Cord Clamping in Preterm Neonates: A Randomized Controlled Trial

TypeinterventionalSponsorCairo UniversityRan2021 to 2022Enrolled4ConditionsCord ClampingArmsGroup B, Group C, Group D, Group A
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Guideline
  2. 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
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
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 at 1 institution in 1 country.

Fatma AlzareeNational Research Center, Child Health Department, Eltahrir Street, Dokki, Guiza, Cairo 1234, Egypt.
Ahmed ElbohotyAin Shams University Faculty of Medicine, Cairo, Egypt.
Mohamed AbdellatifAin Shams University Faculty of Medicine, Cairo, Egypt.
Ain Shams University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimOur study aims to make a comparison between the effects of milking of umbilical cord versus delayed cord clamping on Hemoglobin level at 6 weeks from delivery among term neonates and which method is more beneficial for them.

designIt was a randomised control study. Participants were randomised into 2 groups; Group 1: 125 women were assigned to delay cord clamping; Group 2: 125 women were assigned to milking of the umbilical cord 5 times before cutting. Student t-test was used to compare between the two groups for quantitative data, for qualitative data chi-square test and the Correlation coefficient was done to test the association between variables.

settingThis study was at El-Galaa Teaching Hospital, labour suite. Cairo, Egypt.

participantsA group of 250 pregnant women starting from ≥ 37 weeks' gestational age.

interventionIn this study, we searched if the mechanism of milking or delayed cord clamping could give some of the positive benefits for neonates or not.

resultsIn this study, we found that milking of the umbilical cord five times as in group 1 was associated with higher hemoglobin levels at 6 weeks after birth, at physiological anemia of the fetus and significant but clinically there was no difference between the two groups (10.4 ± 0.5 and 10.6 ± 0.5 respectively, P < 0.001). Also, there was a positive correlation between haemoglobin of the mother and the newborn during the first day and after 6 weeks with r = 0.349 and 0.283 respectively and a P value < 0.001. Furthermore, there was a positive correlation between the haemoglobin of the fetus after the first day and fetus at 6 weeks with r = 0.534 and a P value < 0.001. For most other outcomes (including APGAR score, positive pressure ventilation, poor neonatal outcomes such as respiratory distress syndrome there were no significant differences between the two groups. Our study may recommend the use of umbilical cord milking in term babies when delayed cord clamping is unavailable.

conclusionUmbilical cord blood milking after its clamping improves some important haematological parameters for newborns, especially in countries with high incidence of anaemia in newborns and children.

Indexed as

Delayed cord clampingNeonatal physiologic anaemiaTerm newbornUmbilical cord milking

Identifiers

PMID30159064
PMCPMC6108792
OpenAlexW2887930932

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.