Study on the application and promotion of the delayed umbilical cord clamping quality improvement project in very preterm and extremely preterm infants
10.3760/cma.j.issn.2096-2932.2023.10.005
- VernacularTitle:延迟脐带结扎质量改进项目在极/超早产儿中的应用研究
- Author:
Shunyan DUAN
1
;
Weiwei GAO
;
Jia CHEN
;
Longli YAN
;
Ying LIU
;
Lanlan DU
;
Zhu WANG
Author Information
1. 国家临床重点专科/广东省妇幼保健院新生儿科，广东省新生儿重症医学专业质量控制中心，广州 511400
- Keywords:
Very preterm infant;
Extremely preterm infant;
Delayed umbilical cord clamping;
Hypothermia;
Endotracheal intubation
- From:Chinese Journal of Neonatology
2023;38(10):598-602
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the safety and feasibility of application of delayed umbilical cord clamping (DCC) in very preterm and extremely preterm infants.Methods:Based on the previous improvement projects of temperature management and respiratory support, we conducted a prospective study on the effect of umbilical cord clamping quality improvement project using the clinical data of very preterm and extremely preterm infants admitted to Guangdong Maternal and Child Health Hospital. The infants admitted from July to December 2020 who underwent immediate umbilical cord clamping (ICC) were included in the ICC group, and the infants admitted from January to June 2021 who underwent DCC were involved in the DCC group. The incidence of asphyxia, hypothermia, endotracheal intubation within 24 h after birth, endotracheal intubation within 72 h after birth, bronchopulmonary dysplasia and other complications, mechanical ventilation duration and total oxygen therapy duration were compared between the two groups.Results:A total of 45 cases were included in ICC group and 54 cases in DCC group. The gestational age of the two groups was (29.3±1.7) weeks and (29.6±1.4) weeks, and the birth weight was (1 250±332) g and (1 257±306) g. The differences were not statistically significant ( P>0.05). There were no significant differences between the two groups in the incidence of asphyxia, hypothermia, bronchopulmonary dysplasia and other complications related to preterm infants, tracheal intubation rates within 24 and 72 h, and the neonatal temperature at admission to NICU ( P>0.05). Conclusions:Delayed umbilical cord clamping does not increase the risks of asphyxia, hypothermia or invasive respiratory support in very preterm and extremely preterm infants.
