Quality improvement efforts directed at optimal umbilical cord management in delivery room

IF 3.2 3区医学 Q1 OBSTETRICS & GYNECOLOGY

Seminars in perinatology Pub Date : 2024-04-01 DOI:10.1016/j.semperi.2024.151905

Priya Jegatheesan , Henry C. Lee , Andrea Jelks , Dongli Song

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引用次数: 0

Abstract

Delayed or deferred cord clamping (DCC) and umbilical cord milking (UCM) benefit all infants by optimizing fetal-neonatal transition and placental transfusion. Even though DCC is recommended by almost all maternal and neonatal organizations, it has not been universally implemented. There is considerable variation in umbilical cord management practices across institutions. In this article, we provide examples of successful quality improvement (QI) initiatives to implement optimal cord management in the delivery room. We discuss a number of key elements that should be considering among those undertaking QI efforts to implement DCC and UCM including, multidisciplinary team collaboration, development of theory for change, mapping of the current and ideal process and workflow for cord management, and creation of a unit-specific evidence-based protocol for cord management. We also examine important strategies for implementation and provide suggestions for developing a system for measurement and benchmarking.

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产房优化脐带管理的质量改进工作

延迟或推迟脐带夹闭（DCC）和脐带挤奶（UCM）可优化胎儿-新生儿过渡和胎盘输血，从而使所有婴儿受益。尽管几乎所有的孕产妇和新生儿组织都推荐延迟或推迟脐带夹闭（DCC），但这种方法尚未得到普遍实施。各医疗机构的脐带管理实践存在很大差异。在本文中，我们将举例说明在产房实施最佳脐带管理的成功质量改进（QI）措施。我们讨论了在实施 DCC 和 UCM 的 QI 工作中应考虑的一些关键要素，包括多学科团队合作、制定变革理论、绘制当前和理想的脐带管理流程和工作流程图，以及创建特定单位的循证脐带管理规程。我们还研究了重要的实施策略，并就建立衡量和基准系统提出了建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in perinatology 医学-妇产科学

CiteScore

5.80

自引率

2.90%

发文量

审稿时长

6-12 weeks

期刊介绍： The purpose of each issue of Seminars in Perinatology is to provide authoritative and comprehensive reviews of a single topic of interest to professionals who care for the mother, the fetus, and the newborn. The journal''s readership includes perinatologists, obstetricians, pediatricians, epidemiologists, students in these fields, and others. Each issue offers a comprehensive review of an individual topic, with emphasis on new developments that will have a direct impact on their practice.