Audit of Golden Hour Practice in Neonate Assiut University Children Hospital

Abstract

Background: A golden-hour strategy is a philosophical approach that reinforces communication and collaboration (inter-and intra-team) using evidence-based protocols and procedures that standardize as many elements as possible for delivery and initial management of a newborn. Golden-hour strategies lay out how the neonatal team will receive notification from the obstetrical service of an impending periviable birth and stress the importance of collaborative counseling of the family. The Vermont Oxford Network (VON), a worldwide nonprofit collaborative of neonatal healthcare providers, began to use "golden hour" to describe the first hour of life for the Very Low Birth Weight (VLBW) infant in the late 1990s. Pre-resuscitation check lists are used for briefing the care team to the equipment that they will need to prepare both in the delivery room and Neonatal Intensive Care Unit (NICU) in the form of standardized check lists. Personnel have clearly assigned roles and responsibilities. This promotes training and adherence to the American Academy of Pediatrics/ American Heart Association Neonatal Resuscitation Program (NRP) algorithm. Aim of Study: The aim of the study is to assess the degree of adherence of medical physician to Assiut University Children Hospital protocol for application of golden hour practice in neonate. Also to review potentially better practice that can be applied during the golden hour to ensure the optimal outcome. Patients and Methods: The study included 100 cases that were delivered at Assiut University Maternal Health Hospital and followed-up during the first hour of life. The included cases were chosen according to the inclusion criteria and the data was collected during the period between October 2016 to March 2017. Results: The study included 100 newborn infants their gestational ages ranged from >29 weeks to <40 weeks, 51 cases were males and 49 were females. Data of the study showed how much the degree of adherence of medical physician to the agreed up on protocol of golden hour practice in