A Questionnaire Assessing Utilization of Delayed Cord Clamping

Uduwana, S; Nemerofsky, Sheri L.

doi:10.1055/s-0041-1731047

Cited by 3 publications

(1 citation statement)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One US survey suggests clinicians in practice for over ten years are the least convinced about evidence, and that black babies seem more at risk of too early clamping. 25 There is no mention of cord clamping in an NHS improvement strategy to prevent avoidable admissions of term babies. 26 The UK Healthcare Safety Inspection Branch did not highlight early cord clamping practices as potentially problematic when analysing investigations of sudden unexpected postnatal collapse cases.…”

Section: Discussionmentioning

confidence: 99%

‘It must be right, I saw it on TV!’: An observational study of third stage birth practices in popular television programmes

Dawda,

Weeks,

Bewley

2023

JRSM Open

View full text Add to dashboard Cite

Objectives To examine modern media depictions of the third stage of birth in a selection of UK television representations. Design Observational study of a sample of televised fictional and real births, audited against current National Institute of Health and Social Care Excellence (NICE) guidance. Setting UK television channels BBC ( Call The Midwife and This Is Going To Hurt) and Channel 4 ( One Born Every Minute). Participants 87 births from 48 episodes, sampled from the three shows. Main outcome measures The primary outcome was the number of births where the cord was clamped at more than 1 min after birth. Secondary outcomes included place and type of birth, measures of dignity and paternal involvement. Results Overall, the timing of cord clamping was clearly shown in 25/87 (29%) of births, of which only 4/25 (16%) occurred at more than 1 min in screen time. The place of birth and caesarean section (CS) rate changed according to the series perspective and era; graphic explicit images were shown, but these related to CS detail. Conclusions UK television shows have accurately depicted changes in place, culture and type of birth over the last century. They provide the public with a view of new rituals but an inaccurate picture of good quality care. Early cord clamping was shown in most births, even those set after 2014. No programme informed viewers about the safety aspects. When showing outdated practices, broadcasters have a public health duty to inform viewers that this is no longer recommended.

show abstract

Section: Discussionmentioning

confidence: 99%

‘It must be right, I saw it on TV!’: An observational study of third stage birth practices in popular television programmes

Dawda,

Weeks,

Bewley

2023

JRSM Open

View full text Add to dashboard Cite

show abstract

Oxygenation associated with cord management strategies among preterm infants <32 weeks gestation during the transition period

Peterson,

Ferrer,

Sanjay

et al. 2024

J Perinatol

View full text Add to dashboard Cite

A survey on management practices of hypotension in preterm neonates: an Indian perspective

Das,

Nagpal,

Deshpande

et al. 2024

Front. Pediatr.

View full text Add to dashboard Cite

BackgroundHypotension is a common entity in the neonatal intensive care unit (NICU) and is reported in 24%–50% of preterm infants with birth weight less than 1,500 g. Rapid diagnosis and aggressive management is crucial to reduce its detrimental effects on end-organs especially the brain. Physicians often rely on blood pressure alone as a reliable indicator of tissue perfusion, but variations exist in the definition of this crucial parameter. There are also practice variations in the use of diagnostic tools and management modalities among physicians.MethodologyA physician-based cross-sectional survey of management practices of hypotension in preterm neonates in Indian NICUs was conducted using an online survey tool. The questionnaire addressed diagnostic criteria used, utility of echocardiography for the assessment of hypotension, and management strategies used, such as volume expansion, inotropes and steroids.ResultsThree hundred and twenty physicians, working predominantly in Level III NICUs, responded to the survey. The practice of delayed cord clamping was followed in the units of 78% respondents. Only 44% respondents had an institutional written protocol for the management of hypotension. The criteria for the diagnosis of hypotension varied, with 52% using mean blood pressure (BP) less than gestational age as the criteria. Capillary refill time, blood pressure and heart rate were the most common clinical criteria used. 85% respondents used echocardiography in the NICU, but only 73% utilised it for assessment of a hypotensive neonate. Physicians preferred a ‘volume-inotrope-echo-steroid’ strategy, with 85% respondents using volume expansion. Dopamine was the preferred first line inotrope, followed by norepinephrine and low-dose epinephrine.ConclusionThis survey reflects significant variations in practice amongst neonatal physicians in India. Bedside targeted echocardiography needs to be better utilised as a vital tool to determine the pathophysiology of disease and hemodynamic monitoring in the management of hypotension in neonates. While further research is needed on outcome-oriented objectives, awareness and dissemination of already existing guidelines would be useful to standardize clinical practice.

show abstract

A Questionnaire Assessing Utilization of Delayed Cord Clamping

Cited by 3 publications

References 43 publications

‘It must be right, I saw it on TV!’: An observational study of third stage birth practices in popular television programmes

‘It must be right, I saw it on TV!’: An observational study of third stage birth practices in popular television programmes

Oxygenation associated with cord management strategies among preterm infants <32 weeks gestation during the transition period

A survey on management practices of hypotension in preterm neonates: an Indian perspective

Contact Info

Product

Resources

About