Factors associated with umbilical cord clamping in term newborns

Detalhes bibliográficos
Autor(a) principal: Strada,Juliana Karine Rodrigues
Data de Publicação: 2022
Outros Autores: Vieira,Leticia Becker, Gouveia,Helga Geremias, Betti,Thais, Wegner,Wiliam, Pedron,Cecília Drebes
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Escola de Enfermagem da USP (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342022000100432
Resumo: ABSTRACT OBJECTIVE: To identify factors associated with umbilical cord clamping in term newborns and to compare the recording of clamping time in the medical record with what was observed. METHOD: Cross-sectional study, with 300 mothers-infants, in a university hospital. Clamping time and medical records were observed, and a structured questionnaire was applied to postpartum women for sociodemographic variables. Bivariate analysis, multivariate Poisson Regression model, and Kappa concordance test were performed. RESULTS: The percentage of late/optimal clamping observed was 53.7%. The associated factors were skin-to-skin contact in the delivery room (PR = 0.76; 0.61–0.95; p = 0.014), position of the newborn below the vaginal canal (PR = 2.6; CI95%: 1.66–4.07; p < 0.001), position of the newborn at the vaginal level (PR = 2.03; CI95%: 1.5–2.75; p < 0.001), and need for newborn resuscitation in the delivery room (PR = 1.42; CI95%; 1.16–1.73; p = 0.001). Kappa concordance level of the professionals, records compared to the observation was: nurse 0.47, obstetrician 0.59, and pediatrician 0.86. CONCLUSION: the identification of associated factors and the comparison between recording and observing the clamping time can help in the planning and implementation of improvements for adherence to good practices at birth.
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spelling Factors associated with umbilical cord clamping in term newbornsUmbilical CordObstetric NursingObstetricsRecordsInfant, NewbornNeonatologyABSTRACT OBJECTIVE: To identify factors associated with umbilical cord clamping in term newborns and to compare the recording of clamping time in the medical record with what was observed. METHOD: Cross-sectional study, with 300 mothers-infants, in a university hospital. Clamping time and medical records were observed, and a structured questionnaire was applied to postpartum women for sociodemographic variables. Bivariate analysis, multivariate Poisson Regression model, and Kappa concordance test were performed. RESULTS: The percentage of late/optimal clamping observed was 53.7%. The associated factors were skin-to-skin contact in the delivery room (PR = 0.76; 0.61–0.95; p = 0.014), position of the newborn below the vaginal canal (PR = 2.6; CI95%: 1.66–4.07; p < 0.001), position of the newborn at the vaginal level (PR = 2.03; CI95%: 1.5–2.75; p < 0.001), and need for newborn resuscitation in the delivery room (PR = 1.42; CI95%; 1.16–1.73; p = 0.001). Kappa concordance level of the professionals, records compared to the observation was: nurse 0.47, obstetrician 0.59, and pediatrician 0.86. CONCLUSION: the identification of associated factors and the comparison between recording and observing the clamping time can help in the planning and implementation of improvements for adherence to good practices at birth.Universidade de São Paulo, Escola de Enfermagem2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342022000100432Revista da Escola de Enfermagem da USP v.56 2022reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/1980-220x-reeusp-2021-0423info:eu-repo/semantics/openAccessStrada,Juliana Karine RodriguesVieira,Leticia BeckerGouveia,Helga GeremiasBetti,ThaisWegner,WiliamPedron,Cecília Drebeseng2022-03-25T00:00:00Zoai:scielo:S0080-62342022000100432Revistahttp://www.scielo.br/reeuspPUBhttps://old.scielo.br/oai/scielo-oai.php||nursingscholar@usp.br1980-220X0080-6234opendoar:2022-03-25T00:00Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Factors associated with umbilical cord clamping in term newborns
title Factors associated with umbilical cord clamping in term newborns
spellingShingle Factors associated with umbilical cord clamping in term newborns
Strada,Juliana Karine Rodrigues
Umbilical Cord
Obstetric Nursing
Obstetrics
Records
Infant, Newborn
Neonatology
title_short Factors associated with umbilical cord clamping in term newborns
title_full Factors associated with umbilical cord clamping in term newborns
title_fullStr Factors associated with umbilical cord clamping in term newborns
title_full_unstemmed Factors associated with umbilical cord clamping in term newborns
title_sort Factors associated with umbilical cord clamping in term newborns
author Strada,Juliana Karine Rodrigues
author_facet Strada,Juliana Karine Rodrigues
Vieira,Leticia Becker
Gouveia,Helga Geremias
Betti,Thais
Wegner,Wiliam
Pedron,Cecília Drebes
author_role author
author2 Vieira,Leticia Becker
Gouveia,Helga Geremias
Betti,Thais
Wegner,Wiliam
Pedron,Cecília Drebes
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Strada,Juliana Karine Rodrigues
Vieira,Leticia Becker
Gouveia,Helga Geremias
Betti,Thais
Wegner,Wiliam
Pedron,Cecília Drebes
dc.subject.por.fl_str_mv Umbilical Cord
Obstetric Nursing
Obstetrics
Records
Infant, Newborn
Neonatology
topic Umbilical Cord
Obstetric Nursing
Obstetrics
Records
Infant, Newborn
Neonatology
description ABSTRACT OBJECTIVE: To identify factors associated with umbilical cord clamping in term newborns and to compare the recording of clamping time in the medical record with what was observed. METHOD: Cross-sectional study, with 300 mothers-infants, in a university hospital. Clamping time and medical records were observed, and a structured questionnaire was applied to postpartum women for sociodemographic variables. Bivariate analysis, multivariate Poisson Regression model, and Kappa concordance test were performed. RESULTS: The percentage of late/optimal clamping observed was 53.7%. The associated factors were skin-to-skin contact in the delivery room (PR = 0.76; 0.61–0.95; p = 0.014), position of the newborn below the vaginal canal (PR = 2.6; CI95%: 1.66–4.07; p < 0.001), position of the newborn at the vaginal level (PR = 2.03; CI95%: 1.5–2.75; p < 0.001), and need for newborn resuscitation in the delivery room (PR = 1.42; CI95%; 1.16–1.73; p = 0.001). Kappa concordance level of the professionals, records compared to the observation was: nurse 0.47, obstetrician 0.59, and pediatrician 0.86. CONCLUSION: the identification of associated factors and the comparison between recording and observing the clamping time can help in the planning and implementation of improvements for adherence to good practices at birth.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342022000100432
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1980-220x-reeusp-2021-0423
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Universidade de São Paulo, Escola de Enfermagem
publisher.none.fl_str_mv Universidade de São Paulo, Escola de Enfermagem
dc.source.none.fl_str_mv Revista da Escola de Enfermagem da USP v.56 2022
reponame:Revista da Escola de Enfermagem da USP (Online)
instname:Universidade de São Paulo (USP)
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instname_str Universidade de São Paulo (USP)
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institution USP
reponame_str Revista da Escola de Enfermagem da USP (Online)
collection Revista da Escola de Enfermagem da USP (Online)
repository.name.fl_str_mv Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||nursingscholar@usp.br
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