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320 Audit on practice of delayed cord clamping in Aberdeen Maternity Hospital

Archives of disease in childhood, 2022-08, Vol.107 (Suppl 2), p.A147-A148 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ. ;2022 Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ. ;ISSN: 0003-9888 ;EISSN: 1468-2044 ;DOI: 10.1136/archdischild-2022-rcpch.240

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  • Title:
    320 Audit on practice of delayed cord clamping in Aberdeen Maternity Hospital
  • Author: Zin, Thant ; Kistareddy, Vijender
  • Subjects: Abstracts ; Audits ; Birth ; Compression ; Fetuses ; Intubation ; Neonates ; Pediatrics ; Ventilation ; Ventilators
  • Is Part Of: Archives of disease in childhood, 2022-08, Vol.107 (Suppl 2), p.A147-A148
  • Description: AimsThe primary aim of this clinical audit is to find out the practice of delayed cord clamping post-delivery in labour ward and obstetric theatre.The secondary aim is to find out the potential factors that could prohibit the practice and to find ways to reduce these factors and improve the practices.MethodsA retrospective review of all deliveries at Aberdeen Maternity Hospital from August 1 2020 to August 31, 2020. Electronic notes were reviewed using BadgerNet for the record of Delayed Cord Clamping.The gold standard of audit is the WHO recommendation that both preterm and term newborn who do not require positive pressure ventilation, the cord should not be clamped earlier than one minute.ResultsCharacteristic of audit population comparing immediate cord clamping and delayed cord clamping (see table 1). Out of a total of 406 deliveries, 386 (95%) had record of cord management at birth.From 386 babies with the record, 327 (85%) had delayed cord clamping and the rest 59 (15%) did not. Neonatal team was present at in[ 50 out of 59 (93%) of those deliveries with immediate cord clamping.Out of that 59 babies who did not have delayed cord clamping, 27 (46%) did not require any form of resuscitation and neonatal team was presence in 18 of those 27 deliveries (67%).Mode of deliveries is effecting those who had immediate cord clamping as 30% were born by forceps extraction.It is also noted that 32 out of 59 (54%) of those deliveries who did not have immediate cord clamping required any form of resuscitation, with 29 babies needed bag and mask ventilation and 3 required intubation, it is also noted that 1 baby required cardiac compression as part of resuscitation. In addition, among immediate cord clamping group 11 out of 32 (34%) who required resuscitation at birth were admitted to neonatal unit compared to 2 out of 27 (7%) who did not required resuscitation admitted to neonatal unit.ConclusionThere is a considerable number of immediate cord clamping at Aberdeen Maternity Hospital. Presence of Neonatal team at 93% of those deliveries suggests there is a risk to the fetus that triggers their presence which is evidence by 54% of the deliveries with immediate cord clamping requiring some form of resuscitation.The audit was conducted during changeover of junior doctors and majority of deliveries not receiving delayed cord clamping were attended by Neonatal Team. Continued teaching of delayed cord clamping during induction, structured guidelines, improving assessment of newborn at deliveries by neonatal team will need to be put in place to improve outcome.Abstract 320 Table 1CharacteristicsAlso this audit noted some discrepancies in documentation of delayed cord clamping and having mandatory option for documentation of delayed cord clamping in BadgerNet would improve these issues.
  • Publisher: London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
  • Language: English
  • Identifier: ISSN: 0003-9888
    EISSN: 1468-2044
    DOI: 10.1136/archdischild-2022-rcpch.240
  • Source: Alma/SFX Local Collection
    ProQuest Central
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