Evidence map›Paper›PMID 35366660›Full record

Trial reportSingapore medical journal2023

The haemodynamic effects of umbilical cord milking in term infants: a randomised controlled trial.

Mehmet Tekin, Mahmut Gokdemir, Erzat Toprak, Musa Silahli, Hasan Energin, Zeynel Gokmen

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Singapore medical journal, 2023. 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
0.8field-weighted citation impact, top 29% 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, 5 citations in OpenAlex.

  1. Trial
  2. Trial
  3. 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 at 2 institutions in 1 country.

Mehmet TekinDepartment of Pediatrics, Baskent University Konya Training and Research Hospital, Konya, Turkey.
Mahmut GokdemirDepartment of Pediatric Cardiology, Baskent University Konya Training and Research Hospital, Konya, Turkey.
Erzat ToprakDepartment of Obstetric and Gynecology, Meram Medicine Faculty, Necmettin Erbakan University, Konya, Turkey.
Musa SilahliNeonatal Intensive Care Unit, Baskent University Konya Training and Research Hospital, Konya, Turkey.
Hasan EnerginDepartment of Obstetric and Gynecology, Meram Medicine Faculty, Necmettin Erbakan University, Konya, Turkey.
Zeynel GokmenNeonatal Intensive Care Unit, Baskent University Konya Training and Research Hospital, Konya, Turkey.
Başkent University · TRNecmettin Erbakan University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Umbilical cord milking (UCM) is a method that allows for postnatal placental transfusion. The benefits of UCM have been demonstrated in some studies, but knowledge about its haemodynamic effects in term infants is limited. The aim of this study was to evaluate the haemodynamic effects of UCM in term infants. Methods: In this prospective, randomised controlled study, 149 healthy term infants with a birth week of ≥37 weeks were randomly assigned to either the UCM or immediate cord clamping (ICC) group. Blinded echocardiographic evaluations were performed in all the neonates in the first 2-6 h. Results: Superior vena cava (SVC) flow measurements were higher in the UCM group compared to the ICC group (132.47 ± 37.0 vs. 126.62 ± 34.3 mL/kg/min), but this difference was not statistically significant. Left atrial diameter (12.23 ± 1.99 vs. 11.43 ± 1.78 mm) and left atrium-to-aorta diastolic diameter ratio (1.62 ± 0.24 vs. 1.51 ± 0.22) were significantly higher in the UCM group. There were no significant differences in other echocardiographic parameters between the two groups. Conclusıon: We found no significant difference in the SVC flow measurements in term infants who underwent UCM versus those who underwent ICC. This lack of significant difference in SVC flow may be explained by the mature cerebral autoregulation mechanism in term neonates.

Indexed as

Infant, PrematureUmbilical Cord ClampingConstrictionFemaleHemodynamicsHumansInfantInfant, NewbornPlacentaPregnancyProspective StudiesUmbilical CordVena Cava, SuperiorEchocardiographyinfantperinatal caresuperior vena cavaumbilical cord

Identifiers

PMID35366660
PMCPMC10395803
OpenAlexW4226247247

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.