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.

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. (online). 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
• 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