Volume 7, Issue 6, November 2019, Page: 155-160
Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery
Xinke Huang, Gynaecology and obstetrics department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Li Zuo, Gynaecology and obstetrics department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Ruihong Chen, Gynaecology and obstetrics department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Baohua Qiu, Gynaecology and obstetrics department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Wenfei Liang, Gynaecology and obstetrics department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Received: Sep. 17, 2019;       Accepted: Sep. 29, 2019;       Published: Oct. 17, 2019
DOI: 10.11648/j.jgo.20190706.11      View  68      Downloads  18
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.
Keywords
Quality Control Circle (QCC), Newborns, Delayed Cord Clamp (DCC)
To cite this article
Xinke Huang, Li Zuo, Ruihong Chen, Baohua Qiu, Wenfei Liang, Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery, Journal of Gynecology and Obstetrics. Vol. 7, No. 6, 2019, pp. 155-160. doi: 10.11648/j.jgo.20190706.11
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Hutchon DJR. Why do obstetricians and obstetric nurse still rush to clamp the cord? [J]. BMJ, 2010 (341): c5447.
[2]
Committee on Obstetric Practice. Committee Opinion No. 684: Delayed Umbilical Cord Clamping After Birth [J]. Obstet Gynecol, 2017, 129 (1): e5-e10.
[3]
De P C, Herrera J, Garcia C, et al. Effects of delayed cord clamping on the third stage of labour, maternal haematological parameters and acid-base status in fetuses at term [J]. Eur J Obstet Gynecol Reprod Biol, 2016, 207 (9): 153-156.
[4]
Mercer J S, Ericksonowens D A, Collins J, et al. Effects of Delayed Cord Clamping on Residual Placental Blood Volume, Hemoglobin and Bilirubin Levels in Term Infants: A Randomized Controlled Trial [J]. Journal of Perinatology, 2017, 37 (3): 260-264.
[5]
Nevill E, Meyer M P. Effect of delayed cord clamping (DCC) on breathing and transition at birth in very preterm infants [J]. Early Hum Dev, 2015, 91 (7): 407-411.
[6]
Brocato B, Holliday N, Jr W R, et al. Delayed Cord Clamping in Preterm newborns: A Review of Benefits and Risks [J]. Obstet Gynecol Surv, 2016, 71 (1): 39-42.
[7]
Liang minghui, liu tingfang, dong siping. Application research of quality control circle in continuous improvement of medical quality [J]. China hospital management, 2012, 32 (2): 37-39.
[8]
Hou dongsheng. Carnegie management essence [M]. Beijing: China times economic press, 2002: 393-395.
[9]
Zhang xinguo. Practice and skills of hospital quality management circle activities [M]. Hangzhou: zhejiang university press, 2010: 32-34.
[10]
Journal of perinatal medicine, 2017, (9): 625-629.
[11]
Zhang hui-xin, zhang hong-yu, zhang xiao-li, et al. Effects of delayed umbilicus amputation on neonates [J]. Chinese journal of perinatal medicine, 2014, (10): 716-718.
[12]
Feng jialei, liu jun, bao ai-rong, lian ying, wang xue-fei, qi jing, zhai li-hong, han yu-juan. Study on the effect of delayed umbilicus amputation on maternal and infant outcomes in neonates [J]. Chinese journal of nursing, 2008, 53 (02): 144-148.
[13]
Andersson, O Hellstrom - Westas L, Dan A, et al. Effects of of compared with early umbilical cord clamping on maternal postpartum hemorrhage and cord blood gas from: A randomized trial [J]. Acta Obstetricia Et Gynecologica Scandinavica, 2013, 92 (5): 567-574.
[14]
Krueger M S, Eyal F G, Peevy K J, et al. J of cord clamping with and without cord stripping: A prospective randomized trials of preterm newborns. [J]. American Journal of Obstetrics & Gynecology reported, 2015, 212 (3): 394. No. e1-394. E5.
[15]
Fan xuemei, zhou chunxiu, zhang aixia, li liulan, sun zhiling. Effect of umbilical cord compression on anemia and jaundice in preterm infants with gestational age less than 32 weeks [J]. Chinese journal of nursing, 2008, 53 (02): 149-153.
[16]
Li jiping, li li. Exploration of integrated quality service model of medical care [J]. China nursing management, 2012, 12 (12): 5-7.
[17]
Zhang feixue, wang lianyue, yu yanyan, li yunxia, xu zhilou, huang jianli. Practice of "quality control circle" activity to improve the comprehensive quality of nursing staff [J]. Chinese modern doctors, 2012, 50 (27): 127-130.
[18]
Huang benqing, dong pan, Yang shuxin, lv qiuyan. Problems and Suggestions on the development of quality management circle in clinical nursing [J]. Journal of nursing management, 2015, 15 (03): 227-228.
[19]
Fang shu-jing, liu mei, xu qin, xie yu-hua, jin xia, Yin chun-yan, sun liang-ping, jin lei, chang ping. Application of quality control circle in the prevention of lower extremity deep venous thrombosis in patients with bone trauma [J]. Nursing management in China, 2014, 14 (03): 299-301.
[20]
Wei Na. Status quo of application of Quality Control Circle in nursing field in China [J]. Chinese General Nursing, 2019, 26: 3246-3248.
Browse journals by subject