Marked Variation in Delivery Room Management in Very Preterm Infants

Overview

Journal Resuscitation

Specialty Emergency Medicine

Date 2013 Aug 17

PMID 23948446

Citations 10

Authors

Yoginder Singh

Sam Oddie

Affiliations

Soon will be listed here.

Abstract

Background: The International Liaison Committee on Resuscitation (ILCOR) and U.K. Resuscitation Council (UKRC) updated guidance on newborn resuscitation in late 2010.

Objectives: To describe delivery room (DR) practice in stabilisation following very preterm birth (<32 weeks gestation) in the U.K.

Methods: We emailed a national survey of current DR stabilisation practice of very preterm infants to all U.K. delivery units and conducted telephone follow-up calls.

Results: We obtained 197 responses from 199 units (99%) and complete data from 186 units. Tertiary units administered surfactant in the DR (93% vs. 78%, P=0.01), instituted DR CPAP (77% vs. 50%, P=0.0007), provided PEEP in the delivery room (91% vs. 69%, P=0.0008), and started resuscitation in air or blended oxygen (91% vs. 78%, P=0.04) more often than non-tertiary units. Routine out of hours consultant attendance at very preterm birth was more common in tertiary units (82% vs. 55%, P=0.0005).

Conclusions: Marked variation in DR stabilisation practice of very preterm infants persisted one year after the publication of revised UKRC guidance. Delivery room care provided in non-tertiary units was less consistent with current international guidance.

Citing Articles

[A cross-sectional survey of delivery room transitional care management for very/extremely preterm infants in 24 hospitals in Shenzhen City].

Zhongguo Dang Dai Er Ke Za Zhi. 2024; 26(3):250-257.

PMID: 38557376 PMC: 10986374. DOI: 10.7499/j.issn.1008-8830.2308017.

The center-effect on outcomes for infants born at less than 25 weeks.

Nair N, Patel R Semin Perinatol. 2021; 46(1):151538.

PMID: 34911651 PMC: 9730551. DOI: 10.1016/j.semperi.2021.151538.

Ventilation, oxidative stress and risk of brain injury in preterm newborn.

Cannavo L, Rulli I, Falsaperla R, Corsello G, Gitto E Ital J Pediatr. 2020; 46(1):100.

PMID: 32703261 PMC: 7376314. DOI: 10.1186/s13052-020-00852-1.

Comparison of Two Respiratory Support Strategies for Stabilization of Very Preterm Infants at Birth: A Matched-Pairs Analysis.

Martherus T, Oberthuer A, Dekker J, Kirchgaessner C, van Geloven N, Hooper S Front Pediatr. 2019; 7:3.

PMID: 30761276 PMC: 6362425. DOI: 10.3389/fped.2019.00003.

Golden hour management practices for infants <32 weeks gestational age in Canada.

Shah V, Hodgson K, Seshia M, Dunn M, Schmolzer G Paediatr Child Health. 2018; 23(4):e70-e76.

PMID: 30038535 PMC: 6007305. DOI: 10.1093/pch/pxx175.

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