Impact of quality improvement initiative on incidence of hypothermia in neonates in the delivery room.
Quality improvement bundle including skin-to-skin contact cut neonatal hypothermia after delivery
Impact of quality improvement initiative on incidence of hypothermia in neonates in the delivery room.
Normothermia during the first hour of life predicts admission to neonatal intensive care unit (neonatal intensive care unit) and improves the outcome for both sick and stable babies across all gestational ages.
The aim of this study is to implement a multidisciplinary quality improvement initiative addressing the barriers to optimal thermal care in the delivery room setting and establish sustainable protocols for preventing neonatal hypothermia across all gestational ages.
This prospective Quality Improvement Study was undertaken to enhance newborn care in a tertiary-care hospital's delivery room from January 2024 to May 2024.
hypothermia rate dropped by more than half after the bundle
Immediate skin-to-skin contact (iSTS) offers a simple, effective approach to prevent hypothermia while enhancing feeding, survival, and bonding.
Mean admission temperature increased from 36.2 ± 0.4°C to 36.8 ± 0.3°C (P < .001).
Data collected on the incidence of hypothermia in cycles 1, 2, 3 showed hypothermia rates of 31.7%, 37.03%, and 22.58%, respectively, with cycle 2's increase attributed to heightened staff awareness and improved monitoring.
STS ≥60 min increased from 25% to 85% (P < .001) and early breastfeeding from 30% to 78% (P < .001).
Immediate STS and using a head cap after birth are the two most important key interventions for preventing neonatal hypothermia in the delivery room.