{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T05:30:10Z","timestamp":1784784610133,"version":"3.55.0"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T00:00:00Z","timestamp":1738022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To improve delayed cord clamping (DCC) rates for preterm infants (\u2264\u200934\u2009+\u20090\u2009weeks' gestation) and establish DCC as standard practice using quality improvement (QI) methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A multi\u2010departmental initiative was undertaken. An audit of DCC for preterm infants born at or before 34\u2009+\u20090\u2009weeks was performed. Using this data and feedback from multidisciplinary staff meetings, barriers to DCC implementation were identified and targeted QI interventions were introduced. Ongoing data surveillance monitored the effects of these interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>DCC rates were evaluated for 862 preterm infants from January 2014 to August 2022. This QI project commenced in February 2018, with a detailed audit of 225 preterm infants across three time periods: epoch 1 (immediately prior to QI initiative), epoch 2 (QI implementation phase), and epoch 3 (immediate post\u2010implementation surveillance). Inconsistent documentation of cord clamp time and admission hypothermia were identified as potential barriers to implementation of DCC. Over the course of the initiative, the documentation rate increased from 16% to 92.6%. Hypothermia at admission decreased from 76% in epoch 1 to 43.2% in epoch 3. The baseline rate of DCC was low in epoch 1 (12%), but improved to 70% in epoch 3, with this change sustained in ongoing DCC rate evaluation to August 2022.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There has been a significant and sustained improvement in DCC for preterm infants at our centre. A structured approach to QI and collaboration between multiple departments were each integral in effecting this improvement in clinical care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16794","type":"journal-article","created":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T06:54:03Z","timestamp":1738133643000},"page":"602-608","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Why the Delay? A Quality Improvement Initiative for Delayed Cord Clamping in Preterm Infants"],"prefix":"10.1111","volume":"61","author":[{"given":"Ahmad","family":"Mohamad","sequence":"first","affiliation":[{"name":"Department of Paediatrics Royal Hobart Hospital  Hobart Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Navidad","sequence":"additional","affiliation":[{"name":"Maternity Services Royal Hobart Hospital  Hobart Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay","family":"Edwards","sequence":"additional","affiliation":[{"name":"Maternity Services Royal Hobart Hospital  Hobart Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"DePaoli","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Royal Hobart Hospital  Hobart Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamish","family":"Jackson","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Royal Hobart Hospital  Hobart Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joey","family":"Walsh","sequence":"additional","affiliation":[{"name":"Surgical and Perioperative Services Royal Hobart Hospital  Hobart Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi","family":"Spotswood","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Royal Hobart Hospital  Hobart Tasmania Australia"},{"name":"Burnet Institute  Melbourne Victoria Australia"},{"name":"Department of Medicine University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,28]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-022-01593-1"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.10.231"},{"key":"e_1_2_12_4_1","article-title":"Effect of Timing of Umbilical Cord Clamping and Other Strategies to Influence Placental Transfusion at Preterm Birth on Maternal and Infant Outcomes","volume":"8","author":"Rabe H.","year":"2012","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_12_5_1","article-title":"Effect of Timing of Umbilical Cord Clamping of Term Infants on Maternal and Neonatal Outcomes","volume":"7","author":"McDonald S. 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