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Golden Hour






70%

The percentage reduction in incidence of moderate/severe hypothermia on NICU admission.

75%

The number of eligible infants that received delayed cord clamping in at least 30 seconds.

80%

The number of deliveries that included a delivery room defrief.

Improving the use of best practices in delivery room communications and clinical care

Clinical interventions for resuscitation and stabilization in the first 90 minutes of life affect infant outcomes. Hospital teams participating in the Golden Hour Initiative work to improve outcomes of infants requiring resuscitation and stabilization by implementing evidenced-based practices for the first hours of life.

Appropriate fetal and newborn interventions at the time of delivery and immediately after delivery are critical to improve the outcomes and applicable to neonates of all gestational ages. Those interventions include delayed cord clamping, thermoregulation and oxygenation and require well-coordinated care among the services and providers, particularly within the first 90 minutes of life, referred to as the “Golden Hour.” ILPQC has successfully implemented the Very Low Birth Weight (VLBW) hypothermia project and has sustained the effect of this initiative since 2009.

Objectives:

  • 1.
    Increase use of prebrief, debrief, and delivery room checklist to 80% or greater
  • 2.
    Increase use of delivery room continuous positive airway pressure (CPAP) to 70% or greater, timely administration of surfactant to 80% or greater, and utilization of timed cord clamping to 80% or greater
  • 3.
    Increase pre-delivery family contact, family presence during resuscitation and neonatal intensive care unit (NICU) admission to 90% or greater
  • 4.
    Standardize admission processes, increase timely administration of intravenous glucose and antibiotics within one hour of birth to 80% or greater and increase number of infants with admission temperature in normal range (36.5-37.5oC)

Increased use of a checklist to improve use of best practices in neonatal resuscitation care from 46% to 90%.

Reduced the incidence of moderate to severe hypothermia in newborns at admission to the neonatal intensive care unit from 8% to 3%.

Webinars

Past Webinars

IIllinois Neonatal Golden Hour Face-to-Face Collaborative Learning Session – May 22, 2017

Illinois Golden Hour Neonatal Teams Calls
Main Initiative (2015 – 2017)

Toolkit

**Key Resource
The following material is an example only and not meant to be prescriptive. The resources provided in this toolkit are for informational purposes only. The exclusion of a resource, program, or website does not reflect the quality of that resource, program or website. Note: websites and URLs are subject to change.