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

Brittany Blouin, Mary E. Penny, Martin Casapia, Eder Aguilar, Hermánn Silva, Serene A. Joseph, Hilary M. Creed-Kanashiro, Mathieu Maheu-Giroux, Theresa W. Gyorkos

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

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.

Original languageEnglish
Pages (from-to)322-328
Number of pages7
JournalRevista panamericana de salud publica = Pan American journal of public health
Volume29
Issue number5
StatePublished - May 2011
Externally publishedYes

Keywords

  • Developing countries
  • Health policy
  • Labor
  • Obstetric
  • Peru
  • Umbilical cord

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