Evidence map›Paper›PMID 40481256›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

Factors associated with rates and durations of cord clamping practice compliance in preterm neonates of <33 weeks' gestation.

Belinda Chan, Joseph Y Ting, Eugene Yoon, Sarah D McDonald, Melissa Orton, Ivah Floyd, Marc M Beltempo, Amit Mukerji, Sajit Augustine, Kevin Coughlin and 2 more

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Article in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

12 authors.

Belinda ChanDepartment of Pediatrics, University of Utah, Salt Lake City, UT, USA. belchan@ucdavis.edu.ORCID http://orcid.org/0000-0002-2421-2572
Joseph Y TingDepartment of Pediatrics, University of Alberta, Edmonton, AB, Canada.ORCID http://orcid.org/0000-0002-5246-8823
Eugene YoonMaternal-Infant Care Research Centre, Mount Sinai Hospital, Toronto, ON, Canada.
Sarah D McDonaldDepartment of Obstetrics and Gynecology, McMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0002-4461-2178
Melissa OrtonDepartment of Pediatrics, University of Utah, Salt Lake City, UT, USA.
Ivah FloydDepartment of Pediatrics, University of Utah, Salt Lake City, UT, USA.
Marc M BeltempoDepartment of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, Montreal, QC, Canada.ORCID http://orcid.org/0000-0002-0295-3206
Amit MukerjiDepartment of Pediatrics, McMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0003-2609-9240
Sajit AugustineDepartment of Pediatrics, Windsor Regional Hospital, Windsor, ON, Canada.
Kevin CoughlinDepartment of Pediatrics, Western University, London, ON, Canada.
Prakesh S ShahMaternal-Infant Care Research Centre, Mount Sinai Hospital, Toronto, ON, Canada.
Canadian Neonatal Network (CNN) and Canadian Preterm Birth Network (CPTBN)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine maternal, neonatal, and hospital factors influencing deferred cord clamping (DCC) compliance rates in preterm neonates.

methodsNeonates born <33 weeks' gestational age (GA) within the Neonatal Intensive Care Units of Canadian Neonatal Network during 2018-2022 were included. Units' DCC quality improvement (QI) efforts were surveyed. The factors were stratified by <15 seconds (s) immediate cord clamping, 15-59 s early cord clamping, or ≥60 s DCC.

resultsOf 16,217 eligible neonates, only 45% received DCC ≥ 60 s. Maternal hypertension and antenatal steroid was asscoiated with higher DCC rates. Cesarean delivery (aOR 0.39, 95% CI 0.33-0.47), <26 weeks GA (aOR 0.25, 95% CI 0.21-0.30), and small-for-gestational-age status had lower DCC odds. Singleton birth, preterm labor, and fetal indications for delivery increased DCC likelihood. Hospital size and QI efforts did not impact DCC compliance.

conclusionExtreme preterm neonates or cesarean delivery are actionable QI targets to improve DCC compliance and neonatal outcomes.

Indexed as

Guideline AdherenceInfant, PrematureUmbilical Cord ClampingAdultCanadaCesarean SectionFemaleGestational AgeHumansInfant, NewbornIntensive Care Units, NeonatalMalePregnancyQuality ImprovementTime FactorsUmbilical Cord

Identifiers

PMID40481256

What OpenQuestion holds

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Registered trials

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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.