Evidence map›Paper›PMID 37941523›Full record

Trial reportPediatrics2023

Umbilical Cord Milking Versus Delayed Cord Clamping in Infants 28 to 32 Weeks: A Randomized Trial.

Anup Katheria, Jeff Szychowski, Waldemar A Carlo, Akila Subramaniam, Frank Reister, Jochen Essers, Farha Vora, Courtney Martin, Georg M Schmölzer, Brenda Law and 30 more

Open access · greenAbstract readRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in Pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Singapore Neonatal Resuscitation Guidelines 2026.Singapore medical journal · 2026
    Guideline
  2. Trial
  3. Trial
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  8. Trial
  9. Care of the Newborn and Cord During the Third Stage of Labour (Scientific Impact Paper No. 78).BJOG : an international journal of obstetrics and gynaecology · 2026
    Review
  10. Article
  11. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

40 authors at 18 institutions in 4 countries.

Anup KatheriaNeonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, California.
Jeff SzychowskiUniversity of Alabama at Birmingham, Birmingham, Alabama.
Waldemar A CarloUniversity of Alabama at Birmingham, Birmingham, Alabama.
Akila SubramaniamUniversity of Alabama at Birmingham, Birmingham, Alabama.
Frank ReisterDepartment of Pediatrics and Obstetrics, University of Ulm, Ulm, Germany.
Jochen EssersDepartment of Pediatrics and Obstetrics, University of Ulm, Ulm, Germany.
Farha VoraDepartment of Pediatrics and Obstetrics, Loma Linda University, Loma Linda, California.
Courtney MartinDepartment of Pediatrics and Obstetrics, Loma Linda University, Loma Linda, California.
Georg M SchmölzerDepartment of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Brenda LawDepartment of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Eugene DempseyDepartment of Pediatrics and Obstetrics, University College Cork, Cork, Ireland.
Keelin O'DonoghueDepartment of Pediatrics and Obstetrics, University College Cork, Cork, Ireland.
Joseph KaempfWomen and Children's Services, Providence St Vincent Medical Center, Portland, Oregon.
Mark TomlinsonWomen and Children's Services, Providence St Vincent Medical Center, Portland, Oregon.
Kevin FulfordDepartment of Pediatrics and Obstetrics, Sharp Grossmont Hospital, La Mesa, California.
Bergen FolsomDepartment of Pediatrics and Obstetrics, Sharp Grossmont Hospital, La Mesa, California.
Simon KaramDepartment of Pediatrics and Obstetrics, University of Mississippi Medical CenterJackson, Mississippi.
Rachael MorrisDepartment of Pediatrics and Obstetrics, University of Mississippi Medical CenterJackson, Mississippi.
Toby YanowitzDepartment of Pediatrics and Obstetrics, Magee Women's Hospital of UPMC, Pittsburgh, Pennsylvania.
Stacy BeckDepartment of Pediatrics and Obstetrics, Magee Women's Hospital of UPMC, Pittsburgh, Pennsylvania.
Erin ClarkUniversity of Utah, Department of Pediatrics and Obstetrics, Salt Lake City, Utah.
Tara DuPontUniversity of Utah, Department of Pediatrics and Obstetrics, Salt Lake City, Utah.
Manoj BiniwaleDepartment of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California.
Rangasamy RamanathanDepartment of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California.
Shazia BhatDepartment of Pediatrics and Obstetrics, Christiana Care Health System, Newark, Delaware.
Matthew HoffmanDepartment of Pediatrics and Obstetrics, Christiana Care Health System, Newark, Delaware.
Nitin ChouthaiDepartment of Pediatrics, Saint Louis University School of Medicine, St Louis, Missouri.
Fayez Bany-MohammedDepartment of Pediatrics, University of California, Irvine, School of Medicine, Orange, California.
Janardhan MydamDepartment of Pediatrics, John H. Stroger, Jr Hospital of Cook County, Chicago, Illinois.
Vivek NarendranDepartment of Pediatrics and Obstetrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Fiona WertheimerDepartment of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California.
Yvonne GollinNeonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, California.
Yvonne VaucherDepartment of Pediatrics, University of California at San Diego, San Diego, California.
Kathy ArnellNeonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, California.
Michael VarnerUniversity of Utah, Department of Pediatrics and Obstetrics, Salt Lake City, Utah.
Gary CutterUniversity of Alabama at Birmingham, Birmingham, Alabama.
Nicole WilsonUniversity of Alabama at Birmingham, Birmingham, Alabama.
Wade Rich
RRT
Neil FinerNeonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, California.
Sharp Mary Birch Hospital for Women & Newborns · USUniversity of Alabama at Birmingham · USUniversity of Southern California · USUniversity of Utah · USChristiana Care Health System · USLoma Linda University · USMagee-Womens Hospital · USProvidence St. Vincent Medical Center · USSharp Grossmont Hospital · USUniversität Ulm · DEUniversity College Cork · IEUniversity of Alberta · CAUniversity of Mississippi Medical Center · USCincinnati Children's Hospital Medical Center · USJohn H. Stroger, Jr. Hospital of Cook County · USSaint Louis University · USUniversity of California, Irvine · USUniversity of California, San Diego · US

Funding

Premature Infants Receiving Cord Milking Or Delayed Cord ClampingR01HD088646 · NICHD · SHARP MEMORIAL HOSPITAL · PI KATHERIA, ANUP C · 2017 to 2021
$2.9M
NICHD NIH HHS R01 HD088646
6 · The paper itself

Abstract

objectivesTo determine whether rate of severe intraventricular hemorrhage (IVH) or death among preterm infants receiving placental transfusion with UCM is noninferior to delayed cord clamping (DCC).

methodsNoninferiority randomized controlled trial comparing UCM versus DCC in preterm infants born 28 to 32 weeks recruited between June 2017 through September 2022 from 19 university and private medical centers in 4 countries. The primary outcome was Grade III/IV IVH or death evaluated at a 1% noninferiority margin.

resultsAmong 1019 infants (UCM n = 511 and DCC n = 508), all completed the trial from birth through initial hospitalization (mean gestational age 31 weeks, 44% female). For the primary outcome, 7 of 511 (1.4%) infants randomized to UCM developed severe IVH or died compared to 7 of 508 (1.4%) infants randomized to DCC (rate difference 0.01%, 95% confidence interval: (-1.4% to 1.4%), P = .99).

conclusionsIn this randomized controlled trial of UCM versus DCC among preterm infants born between 28 and 32 weeks' gestation, there was no difference in the rates of severe IVH or death. UCM may be a safe alternative to DCC in premature infants born at 28 to 32 weeks who require resuscitation.

Indexed as

Infant, PrematureUmbilical Cord ClampingCerebral HemorrhageConstrictionFemaleGestational AgeHumansInfantInfant, NewbornMalePlacentaPregnancyUmbilical Cord

Identifiers

PMID37941523
PMCPMC12207594
OpenAlexW4388535038

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.