Evidence map›Paper›PMID 30791873›Full record

Trial reportBMC pregnancy and childbirth2019

Cord pilot trial, comparing alternative policies for timing of cord clamping before 32 weeks gestation: follow-up for women up to one year.

Lucy Bradshaw, Alexandra Sawyer, Lindsay Armstrong-Buisseret, Eleanor Mitchell, Susan Ayers, Lelia Duley

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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

6 authors.

Lucy BradshawNottingham Clinical Trials Unit, University of Nottingham, Nottingham, NG7 2UH, UK. lucy.bradshaw@nottingham.ac.uk.ORCID http://orcid.org/0000-0001-8382-6040
Alexandra SawyerSchool of Health Sciences, University of Brighton, Falmer, BN1 9PH, UK.
Lindsay Armstrong-BuisseretNottingham Clinical Trials Unit, University of Nottingham, Nottingham, NG7 2UH, UK.
Eleanor MitchellNottingham Clinical Trials Unit, University of Nottingham, Nottingham, NG7 2UH, UK.
Susan AyersCentre for Maternal and Child Health, School of Health Sciences, City University London, London, EC1V 0HB, UK.
Lelia DuleyNottingham Clinical Trials Unit, University of Nottingham, Nottingham, NG7 2UH, UK.

Funding

Department of Health RP-PG-0609-10107Programme Grants for Applied Research RPPG-0609-10107
6 · The paper itself

Abstract

backgroundThe Cord Pilot Trial compared two alternative policies for cord clamping at very preterm birth at eight UK maternity units: clamping after at least 2 min and immediate neonatal care (if needed) with cord intact, or clamping within 20 s and neonatal care after clamping. This paper reports follow-up of the women by two self-completed questionnaires up to one year after the birth.

methodsWomen were given or posted the first questionnaire between four and eight weeks after birth, usually before their baby was discharged, and were posted a second similar questionnaire at one year. The questionnaire included the Hospital Anxiety and Depression Scale; the Preterm Birth Experience and Satisfaction Scale (P-BESS) and questions about their baby's feeding.

resultsOf 261 women randomised (132 clamping ≥2 min, 129 clamping ≤20 s), six were excluded as birth was after 35

conclusionsThe response rate was higher for the earlier questionnaire than at one year. A high proportion of women reported symptoms of anxiety or depression, however there were no clear differences between the allocated groups. Most women reported that they had breastfed or expressed milk and those allocated deferred cord clamping reported continuing this for slightly longer.

trial registrationISRCTN 21456601, registered 28th February 2013, http://www.isrctn.com/ISRCTN21456601.

Indexed as

Clinical ProtocolsTime FactorsUmbilical CordAnxietyBreast FeedingConstrictionDepression, PostpartumFemaleFollow-Up StudiesGestational AgeHumansInfantInfant, NewbornOutcome Assessment, Health CarePatient SatisfactionPilot ProjectsClinical trialFollow up for womenNeonatal care with cord intactPreterm birthUmbilical cord clamping

Identifiers

PMID30791873
PMCPMC6383279

What OpenQuestion holds

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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.