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Barriers to deferred cord clamping in preterm infants

OBJECTIVES: To describe the range of practices employed by units conducting deferred cord clamping at very preterm birth. DESIGN: Qualitative study using semistructured interviews with neonatal doctors, nurses, midwives, obstetricians and managers in a sample of UK maternity units. PARTICIPANTS: 33...

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Detalles Bibliográficos
Autores principales: Oddie, Sam, Rhodes, Penny
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145419/
https://www.ncbi.nlm.nih.gov/pubmed/24903454
http://dx.doi.org/10.1136/archdischild-2014-305968
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author Oddie, Sam
Rhodes, Penny
author_facet Oddie, Sam
Rhodes, Penny
author_sort Oddie, Sam
collection PubMed
description OBJECTIVES: To describe the range of practices employed by units conducting deferred cord clamping at very preterm birth. DESIGN: Qualitative study using semistructured interviews with neonatal doctors, nurses, midwives, obstetricians and managers in a sample of UK maternity units. PARTICIPANTS: 33 neonatal doctors, neonatal nurses, midwives, obstetricians and managers. SETTING: UK maternity units in 2012. RESULTS: Four key themes emerged. The first concerns the variation in guideline content, the absence of a practice of stabilisation with cord intact, and issues with implementing and maintaining changes in practice. The second concerns the challenges in assessing eligibility. The third concerns the competing priorities of delivering the intervention and proceeding with other stabilisation manoeuvres and the associated anxiety experienced by professionals. The final theme relates to the issue of uncertainty as to optimal treatment choices. CONCLUSIONS: The evidence surrounding deferred cord clamping in very preterm infants is unclear. This study describes the reported practice of units deferring cord clamping in 2012 and will inform trial development.
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spelling pubmed-41454192014-09-02 Barriers to deferred cord clamping in preterm infants Oddie, Sam Rhodes, Penny Arch Dis Child Fetal Neonatal Ed Original Article OBJECTIVES: To describe the range of practices employed by units conducting deferred cord clamping at very preterm birth. DESIGN: Qualitative study using semistructured interviews with neonatal doctors, nurses, midwives, obstetricians and managers in a sample of UK maternity units. PARTICIPANTS: 33 neonatal doctors, neonatal nurses, midwives, obstetricians and managers. SETTING: UK maternity units in 2012. RESULTS: Four key themes emerged. The first concerns the variation in guideline content, the absence of a practice of stabilisation with cord intact, and issues with implementing and maintaining changes in practice. The second concerns the challenges in assessing eligibility. The third concerns the competing priorities of delivering the intervention and proceeding with other stabilisation manoeuvres and the associated anxiety experienced by professionals. The final theme relates to the issue of uncertainty as to optimal treatment choices. CONCLUSIONS: The evidence surrounding deferred cord clamping in very preterm infants is unclear. This study describes the reported practice of units deferring cord clamping in 2012 and will inform trial development. BMJ Publishing Group 2014-09 2014-06-05 /pmc/articles/PMC4145419/ /pubmed/24903454 http://dx.doi.org/10.1136/archdischild-2014-305968 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/
spellingShingle Original Article
Oddie, Sam
Rhodes, Penny
Barriers to deferred cord clamping in preterm infants
title Barriers to deferred cord clamping in preterm infants
title_full Barriers to deferred cord clamping in preterm infants
title_fullStr Barriers to deferred cord clamping in preterm infants
title_full_unstemmed Barriers to deferred cord clamping in preterm infants
title_short Barriers to deferred cord clamping in preterm infants
title_sort barriers to deferred cord clamping in preterm infants
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4145419/
https://www.ncbi.nlm.nih.gov/pubmed/24903454
http://dx.doi.org/10.1136/archdischild-2014-305968
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