Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery

Xinke Huang; Li Zuo; Ruihong Chen; Baohua Qiu; Wenfei Liang

doi:doi:10.11648/j.jgo.20190706.11

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Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery

Xinke Huang, Li Zuo, Ruihong Chen, Baohua Qiu, Wenfei Liang

Published in Journal of Gynecology and Obstetrics (Volume 7, Issue 6)

Received: 17 September 2019 Accepted: 29 September 2019 Published: 17 October 2019

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Abstract

Probing into the Quality Control Circle (QCC) activities in improving the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery. By setting up QCC team, to investigate and diagnose the problems of DCC rate of newborns undergoing vaginal delivery in our hospital in 2017, therefore, to draw up our new target and the responding measurement. After that, we analyze and discuss the data, and finally filter the valid data. Finally, we compare the two sets of situations and data. According to the investigation of DCC rate undergoing vaginal delivery and the relative Maternal-and-Infant outcome in August to November in 2017, after setting up QCC activities, it shows the DCC rate of newborns undergoing vaginal delivery has an significant increased, from 35.1% to 82.3%, duration of the Third Stage of Labor, hospitalization rate of Neonatal intensive Care Nursing (NICU), Apgar score, incidence of postpartum hemorrhage, asphyxia neonatorum and hyperbilirubinemia has no statistical sence (P>0.05). The Quality Control Circle (QCC) activities can effectively improve the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery, without affecting the incidence of undesirable Maternal-and-Infant outcome. And the quality control circle activities can be fed back and improved through the PDCA cycle to make it more scientific and practical.

Published in	Journal of Gynecology and Obstetrics (Volume 7, Issue 6)
DOI	10.11648/j.jgo.20190706.11
Page(s)	155-160
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Quality Control Circle (QCC), Newborns, Delayed Cord Clamp (DCC)

References

[1]	Hutchon DJR. Why do obstetricians and obstetric nurse still rush to clamp the cord? [J]. BMJ, 2010 (341): c5447.
[2]	Committee on Obstetric Practice. Committee Opinion No. 684: Delayed Umbilical Cord Clamping After Birth [J]. Obstet Gynecol, 2017, 129 (1): e5-e10.
[3]	De P C, Herrera J, Garcia C, et al. Effects of delayed cord clamping on the third stage of labour, maternal haematological parameters and acid-base status in fetuses at term [J]. Eur J Obstet Gynecol Reprod Biol, 2016, 207 (9): 153-156.
[4]	Mercer J S, Ericksonowens D A, Collins J, et al. Effects of Delayed Cord Clamping on Residual Placental Blood Volume, Hemoglobin and Bilirubin Levels in Term Infants: A Randomized Controlled Trial [J]. Journal of Perinatology, 2017, 37 (3): 260-264.
[5]	Nevill E, Meyer M P. Effect of delayed cord clamping (DCC) on breathing and transition at birth in very preterm infants [J]. Early Hum Dev, 2015, 91 (7): 407-411.
[6]	Brocato B, Holliday N, Jr W R, et al. Delayed Cord Clamping in Preterm newborns: A Review of Benefits and Risks [J]. Obstet Gynecol Surv, 2016, 71 (1): 39-42.
[7]	Liang minghui, liu tingfang, dong siping. Application research of quality control circle in continuous improvement of medical quality [J]. China hospital management, 2012, 32 (2): 37-39.
[8]	Hou dongsheng. Carnegie management essence [M]. Beijing: China times economic press, 2002: 393-395.
[9]	Zhang xinguo. Practice and skills of hospital quality management circle activities [M]. Hangzhou: zhejiang university press, 2010: 32-34.
[10]	Journal of perinatal medicine, 2017, (9): 625-629.
[11]	Zhang hui-xin, zhang hong-yu, zhang xiao-li, et al. Effects of delayed umbilicus amputation on neonates [J]. Chinese journal of perinatal medicine, 2014, (10): 716-718.
[12]	Feng jialei, liu jun, bao ai-rong, lian ying, wang xue-fei, qi jing, zhai li-hong, han yu-juan. Study on the effect of delayed umbilicus amputation on maternal and infant outcomes in neonates [J]. Chinese journal of nursing, 2008, 53 (02): 144-148.
[13]	Andersson, O Hellstrom - Westas L, Dan A, et al. Effects of of compared with early umbilical cord clamping on maternal postpartum hemorrhage and cord blood gas from: A randomized trial [J]. Acta Obstetricia Et Gynecologica Scandinavica, 2013, 92 (5): 567-574.
[14]	Krueger M S, Eyal F G, Peevy K J, et al. J of cord clamping with and without cord stripping: A prospective randomized trials of preterm newborns. [J]. American Journal of Obstetrics & Gynecology reported, 2015, 212 (3): 394. No. e1-394. E5.
[15]	Fan xuemei, zhou chunxiu, zhang aixia, li liulan, sun zhiling. Effect of umbilical cord compression on anemia and jaundice in preterm infants with gestational age less than 32 weeks [J]. Chinese journal of nursing, 2008, 53 (02): 149-153.
[16]	Li jiping, li li. Exploration of integrated quality service model of medical care [J]. China nursing management, 2012, 12 (12): 5-7.
[17]	Zhang feixue, wang lianyue, yu yanyan, li yunxia, xu zhilou, huang jianli. Practice of "quality control circle" activity to improve the comprehensive quality of nursing staff [J]. Chinese modern doctors, 2012, 50 (27): 127-130.
[18]	Huang benqing, dong pan, Yang shuxin, lv qiuyan. Problems and Suggestions on the development of quality management circle in clinical nursing [J]. Journal of nursing management, 2015, 15 (03): 227-228.
[19]	Fang shu-jing, liu mei, xu qin, xie yu-hua, jin xia, Yin chun-yan, sun liang-ping, jin lei, chang ping. Application of quality control circle in the prevention of lower extremity deep venous thrombosis in patients with bone trauma [J]. Nursing management in China, 2014, 14 (03): 299-301.
[20]	Wei Na. Status quo of application of Quality Control Circle in nursing field in China [J]. Chinese General Nursing, 2019, 26: 3246-3248.

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APA Style

Xinke Huang, Li Zuo, Ruihong Chen, Baohua Qiu, Wenfei Liang. (2019). Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery. Journal of Gynecology and Obstetrics, 7(6), 155-160. https://doi.org/10.11648/j.jgo.20190706.11

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ACS Style

Xinke Huang; Li Zuo; Ruihong Chen; Baohua Qiu; Wenfei Liang. Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery. J. Gynecol. Obstet. 2019, 7(6), 155-160. doi: 10.11648/j.jgo.20190706.11

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AMA Style

Xinke Huang, Li Zuo, Ruihong Chen, Baohua Qiu, Wenfei Liang. Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery. J Gynecol Obstet. 2019;7(6):155-160. doi: 10.11648/j.jgo.20190706.11

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@article{10.11648/j.jgo.20190706.11,
  author = {Xinke Huang and Li Zuo and Ruihong Chen and Baohua Qiu and Wenfei Liang},
  title = {Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {7},
  number = {6},
  pages = {155-160},
  doi = {10.11648/j.jgo.20190706.11},
  url = {https://doi.org/10.11648/j.jgo.20190706.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20190706.11},
  abstract = {Probing into the Quality Control Circle (QCC) activities in improving the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery. By setting up QCC team, to investigate and diagnose the problems of DCC rate of newborns undergoing vaginal delivery in our hospital in 2017, therefore, to draw up our new target and the responding measurement. After that, we analyze and discuss the data, and finally filter the valid data. Finally, we compare the two sets of situations and data. According to the investigation of DCC rate undergoing vaginal delivery and the relative Maternal-and-Infant outcome in August to November in 2017, after setting up QCC activities, it shows the DCC rate of newborns undergoing vaginal delivery has an significant increased, from 35.1% to 82.3%, duration of the Third Stage of Labor, hospitalization rate of Neonatal intensive Care Nursing (NICU), Apgar score, incidence of postpartum hemorrhage, asphyxia neonatorum and hyperbilirubinemia has no statistical sence (P>0.05). The Quality Control Circle (QCC) activities can effectively improve the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery, without affecting the incidence of undesirable Maternal-and-Infant outcome. And the quality control circle activities can be fed back and improved through the PDCA cycle to make it more scientific and practical.},
 year = {2019}
}

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TY  - JOUR
T1  - Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery
AU  - Xinke Huang
AU  - Li Zuo
AU  - Ruihong Chen
AU  - Baohua Qiu
AU  - Wenfei Liang
Y1  - 2019/10/17
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DO  - 10.11648/j.jgo.20190706.11
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
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PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20190706.11
AB  - Probing into the Quality Control Circle (QCC) activities in improving the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery. By setting up QCC team, to investigate and diagnose the problems of DCC rate of newborns undergoing vaginal delivery in our hospital in 2017, therefore, to draw up our new target and the responding measurement. After that, we analyze and discuss the data, and finally filter the valid data. Finally, we compare the two sets of situations and data. According to the investigation of DCC rate undergoing vaginal delivery and the relative Maternal-and-Infant outcome in August to November in 2017, after setting up QCC activities, it shows the DCC rate of newborns undergoing vaginal delivery has an significant increased, from 35.1% to 82.3%, duration of the Third Stage of Labor, hospitalization rate of Neonatal intensive Care Nursing (NICU), Apgar score, incidence of postpartum hemorrhage, asphyxia neonatorum and hyperbilirubinemia has no statistical sence (P>0.05). The Quality Control Circle (QCC) activities can effectively improve the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery, without affecting the incidence of undesirable Maternal-and-Infant outcome. And the quality control circle activities can be fed back and improved through the PDCA cycle to make it more scientific and practical.
VL  - 7
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Author Information

Xinke Huang

Gynaecology and obstetrics department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Li Zuo

Gynaecology and obstetrics department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Ruihong Chen

Gynaecology and obstetrics department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Baohua Qiu

Gynaecology and obstetrics department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Wenfei Liang

Gynaecology and obstetrics department, The First Affiliated Hospital of Jinan University, Guangzhou, China

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APA Style

Xinke Huang, Li Zuo, Ruihong Chen, Baohua Qiu, Wenfei Liang. (2019). Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery. Journal of Gynecology and Obstetrics, 7(6), 155-160. https://doi.org/10.11648/j.jgo.20190706.11

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ACS Style

Xinke Huang; Li Zuo; Ruihong Chen; Baohua Qiu; Wenfei Liang. Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery. J. Gynecol. Obstet. 2019, 7(6), 155-160. doi: 10.11648/j.jgo.20190706.11

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AMA Style

Xinke Huang, Li Zuo, Ruihong Chen, Baohua Qiu, Wenfei Liang. Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery. J Gynecol Obstet. 2019;7(6):155-160. doi: 10.11648/j.jgo.20190706.11

Copy | Download

@article{10.11648/j.jgo.20190706.11,
  author = {Xinke Huang and Li Zuo and Ruihong Chen and Baohua Qiu and Wenfei Liang},
  title = {Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {7},
  number = {6},
  pages = {155-160},
  doi = {10.11648/j.jgo.20190706.11},
  url = {https://doi.org/10.11648/j.jgo.20190706.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20190706.11},
  abstract = {Probing into the Quality Control Circle (QCC) activities in improving the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery. By setting up QCC team, to investigate and diagnose the problems of DCC rate of newborns undergoing vaginal delivery in our hospital in 2017, therefore, to draw up our new target and the responding measurement. After that, we analyze and discuss the data, and finally filter the valid data. Finally, we compare the two sets of situations and data. According to the investigation of DCC rate undergoing vaginal delivery and the relative Maternal-and-Infant outcome in August to November in 2017, after setting up QCC activities, it shows the DCC rate of newborns undergoing vaginal delivery has an significant increased, from 35.1% to 82.3%, duration of the Third Stage of Labor, hospitalization rate of Neonatal intensive Care Nursing (NICU), Apgar score, incidence of postpartum hemorrhage, asphyxia neonatorum and hyperbilirubinemia has no statistical sence (P>0.05). The Quality Control Circle (QCC) activities can effectively improve the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery, without affecting the incidence of undesirable Maternal-and-Infant outcome. And the quality control circle activities can be fed back and improved through the PDCA cycle to make it more scientific and practical.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery
AU  - Xinke Huang
AU  - Li Zuo
AU  - Ruihong Chen
AU  - Baohua Qiu
AU  - Wenfei Liang
Y1  - 2019/10/17
PY  - 2019
N1  - https://doi.org/10.11648/j.jgo.20190706.11
DO  - 10.11648/j.jgo.20190706.11
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 155
EP  - 160
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20190706.11
AB  - Probing into the Quality Control Circle (QCC) activities in improving the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery. By setting up QCC team, to investigate and diagnose the problems of DCC rate of newborns undergoing vaginal delivery in our hospital in 2017, therefore, to draw up our new target and the responding measurement. After that, we analyze and discuss the data, and finally filter the valid data. Finally, we compare the two sets of situations and data. According to the investigation of DCC rate undergoing vaginal delivery and the relative Maternal-and-Infant outcome in August to November in 2017, after setting up QCC activities, it shows the DCC rate of newborns undergoing vaginal delivery has an significant increased, from 35.1% to 82.3%, duration of the Third Stage of Labor, hospitalization rate of Neonatal intensive Care Nursing (NICU), Apgar score, incidence of postpartum hemorrhage, asphyxia neonatorum and hyperbilirubinemia has no statistical sence (P>0.05). The Quality Control Circle (QCC) activities can effectively improve the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery, without affecting the incidence of undesirable Maternal-and-Infant outcome. And the quality control circle activities can be fed back and improved through the PDCA cycle to make it more scientific and practical.
VL  - 7
IS  - 6
ER  -

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