Evidence map›Paper›PMID 30992034›Full record

Trial reportTrials2019

Women's experiences of participating in a randomised trial comparing alternative policies for timing of cord clamping at very preterm birth: a questionnaire study.

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

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 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. Article
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.ORCID http://orcid.org/0000-0001-8382-6040
Alexandra SawyerSchool of Health Sciences, University of Brighton, Falmer, BN1 9PH, UK.
Eleanor MitchellNottingham Clinical Trials Unit, University of Nottingham, Nottingham, NG7 2UH, UK.
Lindsay Armstrong-BuisseretNottingham Clinical Trials Unit, University of Nottingham, Nottingham, NG7 2UH, UK.
Susan AyersCentre for Maternal and Child Health Research, School of Health Sciences, City University London, London, EC1V 0HB, UK.
Lelia DuleyNottingham Clinical Trials Unit, University of Nottingham, Nottingham, NG7 2UH, UK. Lelia.Duley@nottingham.ac.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 tertiary maternity units: clamping after at least 2 min and immediate neonatal care with cord intact, or clamping within 20 s and neonatal care after clamping. This paper reports views and experiences of the women who participated in the trial (261 randomised), based on data from two self-completed questionnaires.

methodsWomen were given or posted the first questionnaire between 4 and 8 weeks after birth, and posted a second similar questionnaire at 1 year. Both questionnaires included three questions about experiences of participating in the trial: (1) If time suddenly went backwards and you had to do it all over again, would you agree to participate in the Cord Pilot Trial?; (2) Please tell us if there was anything about the Cord Pilot Trial that you think could have been done better; and (3) Please tell us if there was anything about the Cord Pilot Trial, or your experiences of joining the trial, that you think were particularly good.

resultsOne hundred and eighty-six women completed the first questionnaire and 133 completed the second. At both time points, 90% responded 'probably' or 'definitely' to participating in the trial again. More women randomised to deferred clamping responded 'definitely yes' than those allocated immediate clamping (78% versus 67% first questionnaire). Women were positive about the level of information and explanations, the friendly and caring staff, and the benefits for their baby and others as a result of participating in the trial. Suggestions for how the trial could be done better included being approached earlier, better staff communication about the trial, more information overall, and better timing of follow-up.

conclusionsWomen were largely positive about participating in the trial. Nevertheless, they had suggestions for how the study could have been improved. These suggestions have implications for the design of future trials.

trial registrationISRCTN21456601 . Registered on 28 February 2013.

Indexed as

Infant, Extremely PrematureConstrictionFemaleHumansInfant, NewbornPregnancyResearch DesignSurveys and QuestionnairesTime FactorsUmbilical CordClinical trialsExperienceNeonatal care with cord intactPreterm birthUmbilical cord-clamping

Identifiers

PMID30992034
PMCPMC6469101

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.