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Improvement in rates of optimal cord management without an increase in admission hypothermia-results of two quality improvement projects

Lookup NU author(s): Dr Vrinda Nair

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Abstract

© 2024 Neonatal Nurses AssociationBackground: Improving the rates of Optimal cord management (OCM), and maintaining admission normothermia remains a challenge. Objective: To improve OCM rates and admission normothermia in a tertiary perinatal centre in the UK. Methods: Two Quality Improvement (QI) projects were launched in 2021 to increase OCM rates to 70% and admission normothermia rates to 80% by December 2023. Our QI project involved multidisciplinary team engagement, development of guidelines, and education. Results: Following the QI interventions, our rates of OCM improved from 15% to 62% and admission normothermia from 50% to 87%. The most common reason for not performing OCM was the perceived need for resuscitation (72%). There are no increased odds of preterm infants receiving OCM and admission hypothermia (OR 0.23), and admission temperature above 37.5 C (OR 0.47). Conclusions: Through our QI initiatives we have significantly improved rates of OCM and admission normothermia rates in preterm infants.

Publication metadata

Author(s): K Loganathan P, Oldham S, Garg A, Nair V, Ashton C, Michie L

Publication type: Article

Publication status: Published

Journal: Journal of Neonatal Nursing

Year: 2024

Pages: epub ahead of print

Online publication date: 16/04/2024

Acceptance date: 07/04/2024

ISSN (print): 1355-1841

ISSN (electronic): 1878-089X

Publisher: Elsevier Ltd

URL: https://doi.org/10.1016/j.jnn.2024.04.006

DOI: 10.1016/j.jnn.2024.04.006

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