Abstract
Probing into the Quality Control Circle (QCC) activities in improving the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery. By setting up QCC team, to investigate and diagnose the problems of DCC rate of newborns undergoing vaginal delivery in our hospital in 2017, therefore, to draw up our new target and the responding measurement. After that, we analyze and discuss the data, and finally filter the valid data. Finally, we compare the two sets of situations and data. According to the investigation of DCC rate undergoing vaginal delivery and the relative Maternal-and-Infant outcome in August to November in 2017, after setting up QCC activities, it shows the DCC rate of newborns undergoing vaginal delivery has an significant increased, from 35.1% to 82.3%, duration of the Third Stage of Labor, hospitalization rate of Neonatal intensive Care Nursing (NICU), Apgar score, incidence of postpartum hemorrhage, asphyxia neonatorum and hyperbilirubinemia has no statistical sence (P>0.05). The Quality Control Circle (QCC) activities can effectively improve the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery, without affecting the incidence of undesirable Maternal-and-Infant outcome. And the quality control circle activities can be fed back and improved through the PDCA cycle to make it more scientific and practical.
Highlights
Immediate cord ligation of newborns are normal operation in Obstetrics, has been considered it as a positive management at the Third Stage of Labor, in order to prevent or at least to reduce the rate of postpartum hemorrhage and retained placenta
The results showed that there were no statistically significant differences in the duration of third labor, incidence of postpartum hemorrhage, NICU hospitalization rate, incidence of hyperbilirubinemia and incidence of newborns asphyxia (P>0.05)
The results of this study showed that the delayed cord clamp rate of the newborn after vaginal delivery increased from 35.1% before the activity to 82.3% (P
Summary
Immediate cord ligation of newborns are normal operation in Obstetrics, has been considered it as a positive management at the Third Stage of Labor, in order to prevent or at least to reduce the rate of postpartum hemorrhage and retained placenta. Compare with immediate cord ligation, delayed cord clamp can increase hemoglobin, hematocrit and serum iron level of newborns, in order to ameliorate their cardiovascular, cerebral, pulmonary system and so as their nervous system development [3]. Quality Control Circle is an effective managing tool to promote the continuing improvement of medical quality, it makes brilliant results in both nursing technique and management [4,5,6]. In China, the Quality Control Circle is an imperfect technique, that it needs to be adapted to China's medical situation.
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