Cord pilot trial, comparing alternative policies for timing of cord clamping before 32 weeks gestation: follow-up for women up to one year

BMC Pregnancy and Childbirth
Lucy BradshawLelia Duley

Abstract

The Cord Pilot Trial compared two alternative policies for cord clamping at very preterm birth at eight UK maternity units: clamping after at least 2 min and immediate neonatal care (if needed) with cord intact, or clamping within 20 s and neonatal care after clamping. This paper reports follow-up of the women by two self-completed questionnaires up to one year after the birth. Women were given or posted the first questionnaire between four and eight weeks after birth, usually before their baby was discharged, and were posted a second similar questionnaire at one year. The questionnaire included the Hospital Anxiety and Depression Scale; the Preterm Birth Experience and Satisfaction Scale (P-BESS) and questions about their baby's feeding. Of 261 women randomised (132 clamping ≥2 min, 129 clamping ≤20 s), six were excluded as birth was after 35+ 6 weeks (2, 4 in each group respectively). Six were not sent either questionnaire. The first questionnaire was given/sent to 244 and returned by 186 (76%) (79, 74%). The second, at one year, was sent to 242 and returned by 133 (55%) (66, 43%). On the first questionnaire, 89 (49%) had a score suggestive of an anxiety disorder, and 55 (30%) had a score suggestive of depression. Satisfactio...Continue Reading

References

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Jun 24, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·A SawyerUNKNOWN Very Preterm Birth Collaborative Group
Sep 16, 2015·Trials·Lucy E BradshawUNKNOWN Cord Pilot Trial Collaborative Group
Sep 20, 2017·Archives of Disease in Childhood. Fetal and Neonatal Edition·Lelia DuleyUNKNOWN Cord Pilot Trial Collaborative Group
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Citations

Feb 27, 2021·Pediatrics·Anna Lene SeidlerUNKNOWN INTERNATIONAL LIAISON COMMITTEE ON RESUSCITATION NEONATAL LIFE SUPPORT TASK FORCE

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