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. 2019 Sep 17;2019(9):CD003248. doi: 10.1002/14651858.CD003248.pub4

Malik 2013.

Methods Randomised controlled trial
Participants Inclusion criteria
  • Preterm babies 30‐37 weeks' gestation

  • No information as to whether multiple births were included or not

  • N = 80 babies


Exclusion criteria
  • Congenital anomalies (on clinical examination); Rh negative mothers (laboratory evaluation of blood grouping of mother)

Interventions Intervention: DCC
  • Cord clamped at 120 secs

  • N = 40 babies


Comparator: ECC
  • Cord clamped at 30 secs

  • N = 40 babies


Additional information
  • Gestational subgroup: > mixed

  • Resuscitation with cord intact: not available

  • Access to NICU: Lahore ‐ probably

  • Length of delay: 120 secs

  • Baby placed: no information

  • Uterotonic: no information

  • UCM: n/a


Comparison 1
DCC with neonatal resuscitation after cord clamping vs ECC (subgroup by gestation)
Subgroup 2: > 32‐34 weeks' gestation (mostly)
Comparison 2
DCC with neonatal resuscitation after cord clamping vs ECC (subgroup by type intervention)
Subgroup 7: DCC at > 2 mins ‐ unclear where baby placed
Outcomes Hct and polycythaemia (high Hct)
Notes No data for this review
Setting: Department of Pediatric Medicine, Services Hospital, Lahore and labour room, Services Hospital, Lahore, Pakistan
Dates: 8 Jan 2009 to 7 July 2009
Declaration of interest: not reported
Trial funding source: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "...random number table..."
Allocation concealment (selection bias) Unclear risk No information
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Clinicians at birth cannot be blinded – unclear if women blinded or not.
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk No information but Hct and polycythaemia are the outcomes so unlikely to be influenced by knowledge of group allocation.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Appears complete
Selective reporting (reporting bias) Unclear risk We did not assess the trial protocol.
Other bias Unclear risk Very little information on methodology, so unclear about other possible biases.