PERIPRem Share Learn Session Optimising Deferred Cord Clamping

Aims of the session: • • Who are we? Why Deferred Cord Clamping? Share

Share and Learn Session Etiquette When not speaking please go on mute to minimise

Attitudes & Team Culture Neonatal Concerns Obstetric Concerns Environmental & Practical Challenges

Is it a ‘compromised’ baby? “I need to get the baby from the obstetrician

% infants <32 weeks receiving DCC 100. 00% 90. 00% At Least 60 s

Deferred Cord Clamping with Thermal Care & Stabilisation DCC (seconds) 100. 00 90. 00

Next Steps: • • Forming a learning community Setting up a shared discussion space

Slides: 11

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PERIPRem Share & Learn Session “Optimising Deferred Cord Clamping”

Aims of the session: • • Who are we? Why Deferred Cord Clamping? Share innovation Promote collaboration and community Identify barriers and facilitators to improvement Trouble shoot / offer solutions Getting started

Share and Learn Session Etiquette When not speaking please go on mute to minimise background noise; click on the microphone icon to mute / unmute. Introduce yourself before speaking to the group. Use the chat function if you are unable to speak. Raise your hand to indicate you would like to speak. Use of the video is optional; turn the camera off if you do not wish to have your camera on.

The Swindon DCC Journey:

Attitudes & Team Culture Neonatal Concerns Obstetric Concerns Environmental & Practical Challenges

Is it a ‘compromised’ baby? “I need to get the baby from the obstetrician to the resuscitaire” “I need to get the baby to the neonatologist” • Sterile surgical conditions, Attitudes Obstetric Concerns Neonatal Concerns Environmental Challenges Airway support & Lung inflation prior to cord clamping matters… “admission temperature was inversely related to mortality (28% increase per 1°C decrease)”

Optimising Cord Clamping

% infants <32 weeks receiving DCC 100. 00% 90. 00% At Least 60 s of DCC 80. 00% 70. 00% Simultaneous Airway and Breathing Support during DCC 60. 00% 50. 00% 40. 00% Linear(At Least 60 s of DCC) 30. 00% 20. 00% Linear(Simultaneous Airway and Breathing Support during DCC ) 10. 00% 2015 Jan-Mar Mar-May May-Jul Jul-Sept-Nov Nov-Jan Jan-Mar Mar-May May-Jul Jul-Sept Sep-Nov Nov-Jan Jan-Mar may 17 17 17/18 18/19 19 19

Deferred Cord Clamping with Thermal Care & Stabilisation DCC (seconds) 100. 00 90. 00 80. 00 70. 00 60. 00 50. 00 40. 00 30. 00 20. 00 10. 00 8/14/2013 12/27/2014 5/10/2016 9/22/2017 2/4/2019 6/18/2020

Next Steps: • • Forming a learning community Setting up a shared discussion space Do we want another DCC Share and Learn Session? Please complete evaluation survey that will be shared – we are learning how best to facilitate on line sessions