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Rev Panam Salud Publica. 2011 May;29(5):322-8.

Effect of a two-component intervention to change hospital practice from early to delayed umbilical cord clamping in the Peruvian Amazon.

Author information

1
Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada.

Abstract

OBJECTIVE:

To investigate the effect of a two-component intervention to change hospital practice with regard to the timing of umbilical cord clamping.

METHODS:

A pre-/post-study design was used to measure the effect of a two-component intervention on mean time to clamp the umbilical cord. The study took place at Hospital Iquitos "César Garayar García" in Iquitos, Peru. A total of 224 women were recruited from the hospital labor room: 112 pre-intervention, from 18 May-3 June 2009, and 112 post-intervention, from 6-20 July 2009. The intervention consisted of 1) a "best practice" three-day training workshop on birthing, and 2) a hospital directive. All deliveries were observed and the time between delivery of the first shoulder and clamping of the umbilical cord was measured with a digital stopwatch.

RESULTS:

The mean time between delivery and cord clamping before the intervention was 56.8 seconds (95% confidence interval [CI]: 51.0, 62.7). This increased to 169.8 seconds (95% CI: 153.8, 185.8) following the intervention. The difference in mean time to clamp remained significant in multivariate analyses (β adjusted = 113.2 seconds, 95% CI: 96.6, 129.9).

CONCLUSIONS:

Hospital policy and practice can be successfully changed from early to delayed umbilical cord clamping using a simple, two-component intervention.

PMID:
21709936
[Indexed for MEDLINE]

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