A sustained reduction in the rate of severe intraventricular hemorrhage in very low birth weight infants: a novel quality improvement project in a large perinatal-neonatal centre in Asia.

ABSTRACT:

Objective

Severe IVH (SIVH) stands out as a leading cause of poor neuro-developmental outcomes, including cognitive, attention and motor impairment in very low birth weight (≤1.5 kg, VLBW) infants. The study aims to reduce the rate of severe intraventricular hemorrhage (SIVH) by 50% in very low birth weight (VLBW) infants admitted to the level III C neonatal intensive care unit (NICU) in Singapore.

Method

In this quality improvement (QI) study, VLBW infants admitted to NICU from 2011 to 2021 (n = 2215) were categorized into four periods: (a) pre-intervention 2011to 2012, (b) Intervention (2013 to 2017), (c) post-intervention (2018 to 2019), and (d) sustainment (2020 to 2021) periods, respectively. A multidisciplinary team identified key drivers for SIVH. A set of care

SUBMITTER: Ibrahim T 

PROVIDER: S-EPMC12515680 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature