A quality improvement initiative for delayed umbilical cord clamping in very low-birthweight infants

Due to clinical benefits, delayed cord clamping (DCC) is recommended in infants born before 37 weeks gestational age. The objective was to institute a delayed cord clamping program and to evaluate clinical outcomes one year after initiation. This study occured at Christiana Care Health System, a ter...

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Veröffentlicht in:	BMC pediatrics 2016-09, Vol.16 (1), p.155-155, Article 155
Hauptverfasser:	Bolstridge, Jeff, Bell, Tracy, Dean, Barbara, Mackley, Amy, Moore, Gina, Swift, Cheryl, Viscount, Dina, Paul, David A, Pearlman, Stephen A
Format:	Artikel
Sprache:	eng
Schlagworte:	Birth weight Blood transfusion Clinical outcomes Constriction Data analysis Female Guideline Adherence - statistics & numerical data Health aspects Humans Hypothermia Infant, Newborn Infant, Premature Infant, Very Low Birth Weight Infants (Newborn) Initiatives Intention to Treat Analysis Light therapy Male Newborn babies Patient Care Team - standards Patient Care Team - statistics & numerical data Perinatal Care - methods Perinatal Care - standards Perinatal Care - statistics & numerical data Physiological aspects Practice Guidelines as Topic Premature babies Quality improvement Quality Improvement - statistics & numerical data Retrospective Studies Sepsis Umbilical Cord Vagina
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Zusammenfassung:	Due to clinical benefits, delayed cord clamping (DCC) is recommended in infants born before 37 weeks gestational age. The objective was to institute a delayed cord clamping program and to evaluate clinical outcomes one year after initiation. This study occured at Christiana Care Health System, a tertiary care facility with a 52 bed level 3 Neonatal Intensive Care Unit (NICU). A multidisciplinary team created a departmental policy, a DCC protocol and educational programs to support the development of a DCC program. A year after initiation of DCC, we evaluated two cohorts of very low birth weight (VLBW) infants (
ISSN:	1471-2431 1471-2431
DOI:	10.1186/s12887-016-0692-9