Evidence map›Paper›PMID 30723276›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2019

Umbilical cord milking reduces the risk of intraventricular hemorrhage in preterm infants born before 32 weeks of gestation.

J D Toledo, S Rodilla, A Pérez-Iranzo, A Delgado, Y Maazouzi, M Vento

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Umbilical cord milking in preterm infants: time to act.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

J D ToledoDivision of Neonatology, General and University Hospital, Castellon, Spain.
S RodillaDivision of Neonatology, General and University Hospital, Castellon, Spain.
A Pérez-IranzoDivision of Neonatology, General and University Hospital, Castellon, Spain.
A DelgadoDivision of Neonatology, General and University Hospital, Castellon, Spain.
Y MaazouziDivision of Obstetrics and Gynecology, General and University Hospital, Castellon, Spain.
M VentoDivision of Neonatology, University and Polytechnic Hospital La Fe, Valencia, Spain. maximo.vento@uv.es.ORCID http://orcid.org/0000-0003-0061-4742
Hospital General Universitari de Castelló · ESHospital Universitari i Politècnic La Fe · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIntraventricular hemorrhage (IVH) is a common complication in extremely preterm infants. We aimed to demonstrate that umbilical cord milking (UCM) would reduce the incidence of IVH in this at risk population. STUDY

designWe compared the incidence of IVH in a prospective cohort of consecutively born preterm infants <32 weeks' gestation receiving UCM (n = 33) with a historical cohort that underwent immediate cord clamping (ICC) (n = 36).

resultsNo significant differences regarding perinatal characteristics were present between both groups except for chorioamnionitis and preterm rupture of membranes which were more frequent in the UCM group. There was a significant reduction in the incidence of IVH in the UCM group as compared to the ICC group (UCM vs. ICC = 12 vs. 33%, p = 0.037; OR = 0.276 (95% CI 0.079-0.967; p = 0.033; NNT = 4.7) and a reduction in the number of transfusions (UCM vs. ICC = 56 vs. 30%, p = 0.035; OR = 0.348 (0.129-0.938; p = 0.033; NNT = 3.8). UCM was safe for mothers (similar decrease in maternal hemoglobin) and offspring.

conclusionUCM significantly reduced the incidence of IVH in preterm infants < 32 weeks' gestation without associated complications for mother or offspring.

Indexed as

Infant, PrematureUmbilical CordAdultBlood TransfusionCerebral Intraventricular HemorrhageCerebrovascular CirculationCohort StudiesConstrictionFemaleGestational AgeHumansIncidenceInfant, NewbornIntensive Care Units, NeonatalMalePlacental Circulation

Identifiers

PMID30723276
OpenAlexW2914639595

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.