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Updated: May 13, 2025

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Improving Delayed Cord Clamping Across Tennessee Through a Statewide Quality Collaborative.

Scott O Guthrie1,2,3, Howard E Herrell1,4, Patricia A Scott1,5

  • 1Tennessee Initiative for Perinatal Quality Care, Nashville, Tennessee.

Pediatrics
|April 14, 2025
PubMed
Summary
This summary is machine-generated.

Delayed cord clamping (DCC) for at least 60 seconds was successfully implemented in 83% of infants across 27 hospitals. This quality improvement initiative significantly enhanced infant care during birth.

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Area of Science:

  • Neonatal care
  • Perinatal quality improvement
  • Public health initiatives

Background:

  • Delayed cord clamping (DCC) offers significant benefits to newborns.
  • Standardizing DCC practices is crucial for improving infant outcomes.
  • A quality improvement (QI) initiative aimed to increase DCC rates.

Purpose of the Study:

  • To increase the proportion of infants receiving delayed cord clamping (DCC) for at least 60 seconds to a minimum of 90% in participating hospitals.
  • To implement and evaluate a statewide QI initiative for DCC.
  • To monitor the impact of DCC on infant care.

Main Methods:

  • A QI initiative was launched in 5 pilot hospitals in January 2022, expanding to 22 more in May 2022.
  • Monthly data collection tracked live births, DCC rates, and infant demographics from January 2022 to June 2023.
  • Balancing measures (Apgar scores, hypothermia) and process measures were monitored.

Main Results:

  • 83% (61,642/74,241) of infants received DCC for at least 60 seconds.
  • The aggregate baseline DCC rate of 76% improved to an adjusted mean rate of 87% after the intervention.
  • The positive impact of the QI initiative was observed consistently across all facility levels.

Conclusions:

  • The statewide perinatal QI collaborative successfully enhanced the implementation of DCC practices.
  • Evidence-based QI initiatives are effective in increasing the uptake of recommended infant care practices.
  • This initiative demonstrates a significant improvement in infant care during birth through standardized DCC.