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Adopting Delayed Cord Clamping in Neonates who Cry/Breathe at Birth: A Quality Improvement Project at a Tertiary Care Hospital in Bengaluru, Karnataka, India |
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R Gowtham, MG Suman, Megha Varsha Madhusudan, V Sandhya 1. Postgraduate, Department of Paediatrics, Dr. BR. Ambedkar Medical College and Hospital, Bengaluru, Karnataka, India. 2. Associate Professor, Department of Paediatrics, Dr. BR. Ambedkar Medical College and Hospital, Bengaluru, Karnataka, India. 3. Senior Resident, Department of Obstetrics and Gynaecology, Dr. BR. Ambedkar Medical College and Hospital, Bengaluru, Karnataka, India. 4. Associate Professor, Department of Paediatrics, Dr. BR. Ambedkar Medical College and Hospital, Bengaluru, Karnataka, India. |
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Correspondence Address : Dr. V Sandhya, #28, Sri Hari Nilaya, 3rd A Cross, Satyanarayana Layout 2nd Satge, J.C.Nagar, Mahalakshmipuram, Bengaluru-560086, Karnataka, India. E-mail: savemu05@gmail.com |
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| ABSTRACT |  | ||||||
: Introduction: Delayed Cord Clamping (DCC) involves waiting to clamp the umbilical cord for a duration of usually 60 seconds to three minutes following the baby’s birth. This practice has garnered increasing attention due to its potential to significantly improve neonatal outcomes. Aim: To increase DCC rates at study Institute, by about 80% in neonates who breathe and cry at birth. Materials and Methods: This Quality Improvement (QI) study was carried out in the Department of Paediatrics at Dr. BR Ambedkar Medical College and Hospital in Bengaluru, Karnataka, India, from 1st September 2023 to 15th October 2023 (a period of 6 weeks). This project was planned and conducted with a multidisciplinary team and aimed to increase DCC rates among deliveries conducted (fitting the inclusion criteria) in the Institute, abiding by the World Health Organisation (WHO) protocol. Results: This QI project increased rates of DCC with each Plan-Do-Study-Act cycle (PDSA), ultimately meeting the aim over six weeks, increasing from zero to 87.87%. Conclusion: Simple and inexpensive interventions, such as providing education, repetitive reinforcement and collaborative teamwork with minimal resources, quickly led to improvements in DCC rates. DCC presents significant benefits for neonatal health, particularly in improving iron status and supporting cardiovascular and respiratory transitions. | |||||||
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| Keywords : Early cord clamping, Neonatal blood transfusion, Plan-do-study-act cycle | |||||||
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DOI and Others :
DOI: 10.7860/IJNMR/2025/73132.2433
Date of Submission: May 28, 2024 Date of Peer Review: Aug 12, 2024 Date of Acceptance: Oct 09, 2024 Date of Publishing: Mar 31, 2025 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was Ethics Committee Approval obtained for this study? Yes • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. NA PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Jun 03, 2024 • Manual Googling: Oct 03, 2024 • iThenticate Software: Oct 08, 2024 (17%) ETYMOLOGY: Author Origin EMENDATIONS: 7 |
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