Evidence map›Paper›PMID 41381243›Full record

ArticleBMJ paediatrics open2025

Wait a Minute or More (WAMM): a pragmatic stepped wedge cluster randomised implementation trial assessing the effect of a quality improvement programme on the proportion of infants achieving delayed cord clamping more than 60 s in infants <37 weeks' gestation in up to 20 maternity hospitals.

Himanshu Popat, Kristy P Robledo, Sarah Finlayson, Melinda Cruz, Angela Cavallaro, Alpana Ghadge, Naomi Spotswood, Amy K Keir, Christoph Lehner, Sailesh Kumar and 9 more

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ paediatrics open, 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. Review
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

19 authors.

Himanshu PopatNHMRC Clinical Trial Centre, University of Sydney, Sydney, New South Wales, Australia himanshu.popat@sydney.edu.au.ORCID http://orcid.org/0000-0002-6991-9686
Kristy P RobledoNHMRC Clinical Trial Centre, University of Sydney, Sydney, New South Wales, Australia.
Sarah FinlaysonNHMRC Clinical Trial Centre, University of Sydney, Sydney, New South Wales, Australia.
Melinda CruzNHMRC Clinical Trial Centre, University of Sydney, Sydney, New South Wales, Australia.
Angela CavallaroNHMRC Clinical Trial Centre, University of Sydney, Sydney, New South Wales, Australia.
Alpana GhadgeNHMRC Clinical Trial Centre, University of Sydney, Sydney, New South Wales, Australia.
Naomi SpotswoodRoyal Hobart Hospital, Hobart, Tasmania, Australia.ORCID http://orcid.org/0000-0002-1044-4604
Amy K KeirWomen and Kids Theme, South Australian Health and Medical Institute, the Adelaide Medical School and the Robinson Research Institute, University of Adelaide, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0003-1692-5676
Christoph LehnerRoyal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Sailesh KumarMater Research, Mater Research Institute/University of Queensland, Brisbane, Queensland, Australia.ORCID http://orcid.org/0000-0003-0832-4811
Graeme R PolglaseHudson Institute of Medical Research, Dept of Pediatrics, Monash University, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-8906-614X
Dennis BonneyRoyal Darwin Hospital, Darwin, Northern Territory, Australia.
Malcolm BattinAuckland City Hospital, Auckland, New Zealand.ORCID http://orcid.org/0000-0001-9622-0523
Tobias StrunkThe Kids Research Institute Australia, The University of Western Australia, Perth, Western Australia, Australia.
Adrienne GordonNeonatal Intensive Care, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
Khalid AzizPediatrics, University of Alberta, Edmonton, Queensland, Canada.
Gillian HarveyFlinders University, Adelaide, South Australia, Australia.
Kei LuiSchool of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia.
William O Tarnow-MordiNHMRC Clinical Trial Centre, University of Sydney, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDelayed cord clamping (DCC) is an evidence-based intervention that reduces mortality, anaemia and disability in infants born <37 weeks' gestation who do not require immediate resuscitation. However, it is neither reliably recorded nor routinely implemented in Australia. The Wait a Minute or More (WAMM) study aims to reduce this gap between the evidence and practice by integrating timely sharing of cord clamping data with Evidence-based Practice for Improving Quality methods to increase the proportion of preterm infants receiving DCC for 60 s or longer (DCC60).

methodsThe WAMM study is a pragmatic stepped wedge cluster randomised trial (SW-CRT), informed by the Integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework. Up to 20 Australian maternity hospitals will participate in this pragmatic SW-CRT to evaluate if in ( DISCUSSION: Using the stepped wedged design and guided by an explicit implementation framework (i-PARIHS), WAMM will provide information on the effectiveness and transferability of a locally adapted QI method to improve DCC60. If proven effective, ultimately scaling up the WAMM intervention globally will greatly improve childhood anaemia, death, disability and long-term costs. TRIAL REGISTRATION NUMBER: ACTRN12624000035527.

Indexed as

Quality ImprovementUmbilical Cord ClampingAustraliaFemaleGestational AgeHospitals, MaternityHumansInfant, NewbornInfant, PrematurePragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicTime FactorsUmbilical CordNeonatologyQualitative research

Identifiers

PMID41381243
PMCPMC12699688

What OpenQuestion holds

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LicenceCC BY
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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.