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Implementation of Delayed Cord Clamping in Vigorous Preterm Neonates
Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|October 8, 2018
Summary
Delayed cord clamping (DCC) in vigorous preterm neonates significantly improved Apgar scores at 1 and 5 minutes. This evidence-based practice change enhanced obstetric team perspectives and is now standard clinical practice.
Area of Science:
- Neonatal Medicine
- Evidence-Based Practice
- Obstetrics
Background:
- Delayed cord clamping (DCC) offers benefits for preterm neonates, yet was not standard practice in this setting.
- A need existed to implement evidence-based recommendations for DCC.
Purpose of the Study:
- To adopt and implement evidence-based recommendations for delayed cord clamping in vigorous preterm neonates.
- To evaluate the impact of DCC on Apgar scores and obstetric team perspectives.
Main Methods:
- An evidence-based practice change project utilizing quantitative data.
- An interprofessional obstetric team implemented DCC for up to 1 minute for vigorous preterm neonates (born before 37 weeks gestation).
Main Results:
- Apgar scores at 1 minute were significantly higher with DCC (M=8.35, SD=0.551) compared to immediate clamping (M=7.16, SD=1.834), p=.012.
- Apgar scores at 5 minutes were significantly higher with DCC (M=9.00, SD=0.258) compared to immediate clamping (M=8.58, SD=0.838), p=0.046.
Conclusions:
- Delayed cord clamping was successfully adopted as a usual clinical practice for vigorous preterm neonates.
- Implementation of DCC led to increased Apgar scores and improved obstetric team awareness, experience, and perspectives.
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