The Neonatal Golden Hour-Clinical Interventions to Enhance Quality of Care of the Extremely LBW InfantName : Dr. Sherin Zacharia
Affliation : Charge Nurse
University : Sheikh Khalifa General Hospital
Country : UAE
INTRODUCTION: The "Golden Hour," the first initial hour succeeding the birth of an extremely premature infant, are possibly very vital of his or her life. Definite consideration to respiratory management, temperature regulation, and vascular access, all-inclusive guide that can give health care providers the gears to help change the outcome for these high risk infants , and make the difference between life and death.
METHODS: Review of the literature from at least 5 research articles gathered through print and electronic media device published between the years 2011 to 2017.We will present an approach to the extremely premature infant during the Golden Hour, a protocol to improve the initial body temperature, length of hospital stay, and incidence of Broncho pulmonary dysplasia of the extremely low birth weight infant.
RESULTS: We studied well Golden Hours interventions but did not find statistically significant differences in minimum temperature during resuscitation, length of hospital stay or rate of Broncho pulmonary dysplasia after implementation of the Golden Hour. In additional references shows that there is a decrease in the incidence of intraventricular hemorrhage. The placement of umbilical catheters was much faster during the Golden Hour, an upward trend of surfactant administration within the first 2 hours of life and the arrival in the NICU was significantly delayed.
CONCLUSION/ RECOMMENDATIONS: In this review, I have enclosed many interventions included in “Golden hour” for preterm newborn namely delayed cord clamping, prevention of hypothermia, respiratory and cardiovascular system support, prevention of sepsis, nutritional support, decreased time to initiation of intravenous fluids and antibiotics also an administration of surfactant and communication with family.
BIOGRAPHY: Sherin Zacharia, CN, has been with Sheikh Khalifa hospital since 2014. In her 11 years of experience Sherin started her career as an RN in Neonatal intensive care unit, and has delivered direct care to babies who need tertiary level of care. She was graduated from India. Initially she worked at NICU in INDIA, where she was the runner up in the national neonatal quiz competition. Later she moved to UAE in 2010 and joined as an RN in Mediclinic city hospital NICU, DUBAI. Four years later she joined Sheikh Khalifa hospital as an RN, where she was promoted as a Charge nurse. Working in NICU enables her intimate contact with extremely preterm babies and satisfies her desire to teach and mentally support their parents through one of their most challenging life experiences.