Intact-cord resuscitation's 24-point signal comes with a registry mismatch
A single-centre randomized trial found fewer deaths, severe IVH, or BPD with intact-cord resuscitation, but its public registry snapshot does not match the paper's primary outcome or target sample.
THE HOT TAKE
A 24-point composite difference deserves attention. A registry that names a different primary outcome deserves equal attention.
A single level III centre in eastern India randomized 128 infants born at 26+0 to 31+6 weeks who required delivery-room resuscitation. Intact-cord resuscitation continued until physiological placental expulsion; conventional clamping occurred at 30-60 seconds. One control infant left before primary-outcome ascertainment, leaving a complete-case/per-protocol analysis of 64 versus 63 infants. Median cord attachment was 330 seconds (IQR 240-480) versus 60 seconds.
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