Evidence map›Paper›PMID 33946912›Full record

ArticleChildren (Basel, Switzerland)2021

A Feasibility Study of a Novel Delayed Cord Clamping Cart.

Neha S Joshi, Kimber Padua, Jules Sherman, Douglas Schwandt, Lillian Sie, Arun Gupta, Louis P Halamek, Henry C Lee

Open access · goldAbstract read
In one paragraph

Article in Children (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
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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

8 authors at 1 institution in 1 country.

Neha S JoshiDepartment of Pediatrics, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0003-2397-1662
Kimber PaduaDepartment of Pediatrics, Stanford University, Stanford, CA 94305, USA.
Jules ShermanThe Hasso Plattner Institute of Design, Stanford University, Stanford, CA 94305, USA.
Douglas SchwandtDepartment of Pediatrics, Stanford University, Stanford, CA 94305, USA.
Lillian SieDepartment of Pediatrics, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0003-0069-5028
Arun GuptaDepartment of Pediatrics, Stanford University, Stanford, CA 94305, USA.
Louis P HalamekDepartment of Pediatrics, Stanford University, Stanford, CA 94305, USA.
Henry C LeeDepartment of Pediatrics, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0001-8383-1720
Stanford University · US

Funding

Agency for Healthcare Research and Quality P30HS023506Stanford Maternal and Child Health Research Institute N/A
6 · The paper itself

Abstract

Delaying umbilical cord clamping (DCC) for 1 min or longer following a neonate's birth has now been recommended for preterm and term newborns by multiple professional organizations. DCC has been shown to decrease rates of iron deficiency anemia, intraventricular hemorrhage (IVH), necrotizing enterocolitis (NEC), and blood transfusion. Despite these benefits, clinicians typically cut the umbilical cord without delay in neonates requiring resuscitation and move them to a radiant warmer for further care; this effectively prevents these patients from receiving any benefits from DCC. This study evaluated the feasibility of a delayed cord clamping cart (DCCC) in low-risk neonates born via Cesarean section (CS). The DCCC is a small, sterile cart designed to facilitate neonatal resuscitation while the umbilical cord remains intact. The cart is cantilevered over the operating room (OR) table during a CS, allowing the patient to be placed onto it immediately after birth. For this study, a sample of 20 low-risk CS cases were chosen from the non-emergency Labor and Delivery surgical case list. The DCCC was utilized for 1 min of DCC in all neonates. The data collected included direct observation by research team members, recorded debriefings and surveys of clinicians as well as surveys of patients. Forty-four care team members participated in written surveys; of these, 16 (36%) were very satisfied, 12 (27%) satisfied, 13 (30%) neutral, and 3 (7%) were somewhat dissatisfied with use of the DCCC in the OR. Feedback was collected from all 20 patients, with 18 (90%) reporting that they felt safe with the device in use. This study provides support that utilizing a DCCC can facilitate DCC with an intact umbilical cord.

Indexed as

delayed cord clampingneonatologyresuscitationsimulation

Identifiers

PMID33946912
PMCPMC8145370
OpenAlexW3157635927

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.