Quality Strategies Initiative for the Improvement of Delayed Cord Clamping Among Preterm Neonates: A Quality Improvement Study in Saudi Arabia

Background: Delayed cord clamping (DCC) has significant impact on health and well-being of preterm and term infants locally and worldwide. Effect of autotransfusion from delayed cord clamping has demonstrated significant beneficial effects in decreasing neonatal morbidity and mortality. However, this implementation has not been routinely established in clinical practice. Aim: To improve the percentage of eligible infants who receive DCC among preterm newborns at tertiary hospital in Riyadh, Saudi Arabia. Methods: The study was conducted between June 2023 and June 2024 at tertiary hospital, Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi Arabia. We applied Plan-Do-Study-Act (PDSA) as a structured approach. The study population was defined as preterm infants aged