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Application of a Bundle in the Prevention of Peri-Intraventricular Hemorrhage in Preterm Newborns
Daniela Monteiro Ferreira1, Ana Lívia Araújo Girão, Ana Valeska Siebra E Silva
1Ceará State University, Fortaleza, Ceará, Brazil (Mss Ferreira and Girão; and Drs e Silva, Chaves, de Almeida, and de Carvalho), University for International Integration of the Afro-Brazilian Lusophony, Redenção, Ceará, Brazil (Dr Freire).
Insights
Implementing a care bundle significantly reduced peri-intraventricular hemorrhage (PIVH) in preterm newborns. This low-cost intervention improved care quality and promoted safer outcomes for premature infants.
Area of Science:
- Neonatal Medicine
- Pediatric Critical Care
- Evidence-Based Practice
Background:
- Peri-intraventricular hemorrhage (PIVH) is a significant concern in preterm newborns.
- Effective prevention strategies are crucial for improving neonatal outcomes.
Purpose of the Study:
- To evaluate the impact of a care bundle on PIVH incidence in preterm infants.
- To assess the effectiveness of a standardized intervention for PIVH prevention.
Main Methods:
- A longitudinal, quantitative, quasi-experimental study design.
- Involved a retrospective cohort (control) and an intervention phase implementing a 5-step care bundle.
- Data collected from preterm newborns in a neonatal unit.
Main Results:
- PIVH incidence decreased from 34.8% to 26.3% after bundle implementation.
- A reduction in severe PIVH forms was observed in the intervention group.
- The care bundle demonstrated a direct correlation with decreased PIVH incidence.
Conclusions:
- The implemented care bundle is an effective, low-cost tool for reducing PIVH in preterm newborns.
- This intervention contributes to improved quality and safety of care for premature infants.
- Findings support the widespread adoption of this care bundle in neonatal units.
Abstract:
The purpose of this study was to evaluate the impact of implementing a care bundle for preventing peri-intraventricular hemorrhage (PIVH) in preterm newborns. A longitudinal, quantitative, quasi-experimental study was conducted with preterm newborns from a neonatal unit. The study was divided into 2 stages: the first consisted of a retrospective cohort of newborns (control group) not exposed to the bundle, and the second consisted of 5 practical steps of implementing a care bundle for preventing PIVH in eligible newborns. The results show that a significant reduction in PIVH occurred, from 34.8% before the intervention to 26.3% after application of the bundle. Also, after implementation of the bundle, there was a reduction in the severe forms of PIVH in the newborns who presented with hemorrhage compared with the control group. The study shows how the use of a low-cost and easy operationalization tool can contribute to the health of preterm newborns. It was found that the bundle is directly related to the decrease in the incidence of PIVH. The results may contribute to the improvement in care quality, thus promoting safe care for premature newborns.
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