The Golden Hour refers to the first 90 minutes of life, a critical window when timely, coordinated care significantly improves neonatal outcomes. This initiative focuses on resuscitation and stabilization practices for newborns, especially Very Low Birth Weight (VLBW) infants, to reduce complications and ensure better transitions to NICU care. Since 2009, ILPQC has successfully implemented and sustained improvements through its VLBW Hypothermia Project, a foundational component of this initiative.

Objective: Increase use of prebriefs, debriefs, and delivery room checklists to ≥80%

• Improve use of:
  • Delivery room CPAP to ≥70%
  • Timely surfactant administration to ≥80%
  • Timed cord clamping (≥30 seconds) to ≥80%
• Increase:
  • Pre-delivery family contact
  • Family presence during resuscitation
  • NICU admission family contact to ≥90%
• Standardize NICU admission processes:
  • Timely IV glucose and antibiotics (within 1 hour) to ≥80%
  • Maintain admission temperature within normal range (36.5–37.5°C)