Delivery room handling of the newborn.
cord clamping
delivery room
heart rate
newborn
oxygenation
resuscitation
stabilization
suctioning
thermal control
ventilation
Journal
Journal of perinatal medicine
ISSN: 1619-3997
Titre abrégé: J Perinat Med
Pays: Germany
ID NLM: 0361031
Informations de publication
Date de publication:
18 Dec 2019
18 Dec 2019
Historique:
received:
10
08
2019
accepted:
07
11
2019
pubmed:
14
12
2019
medline:
26
6
2020
entrez:
14
12
2019
Statut:
ppublish
Résumé
For newly born babies, especially those in need of intervention at birth, actions taken during the first minute after birth, the so-called "Golden Minute", can have important implications for long-term outcomes. Both delivery room handling, including identification of maternal and infant risk factors and provision of effective resuscitation interventions, and antenatal care decisions regarding antenatal steroid administration and mode of delivery, are important and can affect outcomes. Anticipating risk factors for neonates at high risk of requiring resuscitation can decrease time to resuscitation and improve the prognosis. Following a review of maternal and fetal risk factors affecting newborn resuscitation, we summarize the current recommendations for delivery room handling of the newborn. This includes recommendations and rationale for the use of delayed cord clamping and cord milking, heart rate assessment [including the use of electrocardiogram (ECG) electrodes in the delivery room], role of suctioning in newborn resuscitation, and the impact of various ventilatory modes. Oxygenation should be monitored by pulse oximetry. Effects of oxygen and surfactant on subsequent pulmonary outcomes, and recommendations for provisions of appropriate thermoregulatory support are discussed. Regular teaching of delivery room handling should be mandatory.
Identifiants
pubmed: 31834864
doi: 10.1515/jpm-2019-0304
pii: jpm-2019-0304
pmc: PMC7771218
mid: NIHMS1651965
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1-10Subventions
Organisme : NHLBI NIH HHS
ID : K08 HL124295
Pays : United States
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