The Golden Hour Part I: Delivery Room Management
The successful transition from fetal to neonatal life involves many complex physiological changes. Interventions during this time period have been shown to have a great influence on a baby's future morbidities. Optimizing delivery room management of newborns provides many opportunities to impact outcomes positively with a lower occurrence of preventable illnesses.
The FPQC has chosen to support a "Golden Hour Part I: Delivery Room Management" quality improvement initiative for infants with a gestational age less than 30 6/7 weeks or birth weight less than 1500 grams. Through the guidance of the Lead Investigator - Maya Balakrishnan, MD, Assistant Professor, Department of Pediatrics, University of South Florida Morsani College of Medicine - and the active involvement of FPQC stakeholders, this Infant Health Advisory Subcommittee project team is focusing on teamwork, thermoregulation, oxygen saturation, and delayed cord clamping.
The following pilot hospital sites have committed to the quality initiative: All Children's Hospital/Johns Hopkins Medicine, Baptist Hospital in Miami, Florida Hospital in Tampa, St. Joseph's Hospital, and the University of South Florida/Tampa General Hospital. The team has been working diligently to develop a toolkit, data collection systems, and website access to our project information. Through this standardization of guidelines, our multidisciplinary and inter-professional team hopes to achieve the greatest impact in delivery room management practices to improve health outcomes with decreased morbidity and mortality while advancing the health care quality of Florida's newborns.