Implementation and Evaluation of "Golden Hour" Practices in Infants Younger Than 33 Weeks' Gestation

Brenda Wallingford, Lori Baas Rubarth, Amy A. Abbott, Linda J. Miers

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Upon review of Vermont Oxford Network data, a Midwest level III neonatal intensive care unit noted increased levels of chronic lung disease (CLD) in infants born at less than 33 weeks gestation. Initial analysis of delivery room practices with these infants showed great variance based on each provider's experience and knowledge. In an effort to standardize processes and to reduce the level of CLD within this subpopulation of infants, providers adopted "golden hour" practices focused on providing respiratory support (use of an inspiratory hold, early continuous positive airway pressure, and intubation criteria), oxygen targeting, thermal regulation, and teamwork. Compliance was tracked via delivery room documentation. Although this is an ongoing quality improvement project, examination at 3 and 6 months postpractice shows increasing compliance with the golden-hour practices. Furthermore, after 6 months of using golden-hour practices, there is a decreased incidence of CLD.

Original languageEnglish
Pages (from-to)86-96
Number of pages11
JournalNewborn and Infant Nursing Reviews
Volume12
Issue number2
DOIs
StatePublished - Jun 2012

Fingerprint

Delivery Rooms
Lung Diseases
Chronic Disease
Pregnancy
Continuous Positive Airway Pressure
Neonatal Intensive Care Units
Quality Improvement
Intubation
Documentation
Compliance
Hot Temperature
Oxygen
Incidence

All Science Journal Classification (ASJC) codes

  • Pediatrics

Cite this

Implementation and Evaluation of "Golden Hour" Practices in Infants Younger Than 33 Weeks' Gestation. / Wallingford, Brenda; Rubarth, Lori Baas; Abbott, Amy A.; Miers, Linda J.

In: Newborn and Infant Nursing Reviews, Vol. 12, No. 2, 06.2012, p. 86-96.

Research output: Contribution to journalArticle

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