CONFERENCE PROCEEDING
Experience in introducing evidence-based practice into existing practice in a public maternity hospital in Hong Kong
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Eur J Midwifery 2026;10(Supplement 1):A170
ABSTRACT
PURPOSE:
A working group of midwives from different public maternity hospitals in Hong Kong was formed to initiate and promote the best practice.
DISCUSSION:
The working group went through the EBP process and found the small act, delaying the time fo clamp and cut the umbilical cord at birth would benefits to the mothers and babies. They formulated a PICO question, "What is the best management to practice delayed cord clamping for full term normal vaginal born babies?"
Since 2019, all public maternity hospitals have been practicing DCC for babies born by normal vaginal deliveries except unstable cases. Standardized guidelines enhance consistency in staff training and compliance, and ensure quality and safety in midwifery care.
EVIDENCE WHERE RELEVANT:
The statistics were monitored periodically and the experience practicing DCC in different hospitals was shared. The overall number of babies having DCC practice at birth was steadily increased in most of the hospitals.
The rate of DCC practice for NSD in the presenting hospital had been increased from 54.9% in 2019 to 94.3% in 2023. However, the practice rate in C-Section remained low due to various reasons.
To reduce the variation in practice of cord clamping, a strategic plan was implemented to gain better collaboration between departments. All the stakeholders were involved in promotion and implementation of the EBP practice.
KEY MESSAGE:
A strategic plan to gain better collaboration between departments was implemented.
Anonymous pre-briefing survey to identify staff learning needs and perspective.
Obstetricians to be the DCC ambassadors.
Involved OT colleagues in the production of training video.
Briefing sessions to enhance staff knowledge and share the practice of DCC to all disciplines.
Used newsletter for promulgation.
Created checklist to enhance team communication and make documentation easier.
Practice guideline available the department website for easy access.
Started in suitable elective C-sections.
Progressed to emergency C-sections after familiarization.
DCC practice in all births achieved.
Interprofessional - guidelines