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Related Experiment Video

Updated: Feb 4, 2026

Author Spotlight: Advancing Spinal Cord Stimulation - Exploring the Cellular Responses of Motor Neurons Through Patch-Clamp Electrophysiology
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Implementing delayed cord clamping in premature infants.

Alfonso Francisco Pantoja1, Ann Ryan1, Michelle Feinberg1

  • 1Department of Neonatology, Saint Joseph Hospital, Denver, Colorado, USA.

BMJ Open Quality
|October 2, 2018
PubMed
Summary

Implementing delayed cord clamping (DCC) for premature infants significantly improved adherence to this beneficial practice. This initiative enhanced neonatal care by increasing DCC rates from 19.5% to 85% within four years.

Keywords:
clinical practice guidelinescontinuing education, continuing professional developmenthealthcare quality improvementpdsaquality Improvement

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Area of Science:

  • Neonatal Medicine
  • Perinatal Care
  • Clinical Practice Improvement

Background:

  • Delayed cord clamping (DCC) offers significant benefits to neonates.
  • Adherence to DCC for premature infants (<35 weeks gestation) was low (20%) in 2013 at a community perinatal center.
  • A need was identified to improve the infrequent practice of DCC.

Purpose of the Study:

  • To enhance the adherence to delayed cord clamping (DCC) for premature infants.
  • To improve the implementation of evidence-based best practices in a perinatal setting.

Main Methods:

  • Developed an evidence-based clinical practice guideline for DCC.
  • Engaged multidisciplinary stakeholders (perinatology, nursery, labor & delivery, obstetrics) in guideline development.
  • Provided regular performance feedback to delivery providers on DCC adherence.

Main Results:

  • DCC frequency for premature infants (<35 weeks) increased from 19.5% in 2013 to 85% in 2017.
  • Successful improvement in a key neonatal best practice was achieved.
  • Sustained improvement was noted through continuous reinforcement of DCC goals.

Conclusions:

  • Multidisciplinary team involvement is crucial for developing and implementing clinical practice guidelines.
  • Sustained focus and reinforcement are key to maintaining improved adherence to best practices like DCC.
  • The initiative successfully improved DCC rates, enhancing care for premature infants.