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

K. Loganathan, P.; Oldham, S.; Garg, A.; Nair, V.; Ashton, C.; Michie, L.

Authors

P. K. Loganathan

S. Oldham

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Ankita Garg ankita.garg@durham.ac.uk
PGR Student Doctor of Philosophy

V. Nair

C. Ashton

L. Michie



Abstract

Background
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.

Citation

K. Loganathan, P., Oldham, S., Garg, A., Nair, V., Ashton, C., & Michie, L. (2024). Improvement in rates of optimal cord management without an increase in admission hypothermia-results of two quality improvement projects. Journal of Neonatal Nursing, https://doi.org/10.1016/j.jnn.2024.04.006

Journal Article Type Article
Acceptance Date Apr 7, 2024
Online Publication Date Apr 16, 2024
Publication Date Apr 16, 2024
Deposit Date May 22, 2024
Journal Journal of Neonatal Nursing
Print ISSN 1355-1841
Publisher Elsevier
Peer Reviewed Peer Reviewed
DOI https://doi.org/10.1016/j.jnn.2024.04.006
Public URL https://durham-repository.worktribe.com/output/2392309