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In a tertiary maternity hospital, when should a paediatrician be present in the delivery room?

Abstract : Objective: 10% of newborns require positive pressure ventilation (PPV) at birth. There are few data on prenatal or early postnatal factors that are predictive of the need for a paediatrician in the delivery room. The study analysed prenatal obstetric and early postnatal factors associated with the requirement for paediatrician assistance in this setting.Methods: Over a three-month period, all consecutive births in a tertiary hospital's maternity unit were prospectively evaluated with regard to the need for paediatrician assistance (requested either before or after the delivery), the requirement for resuscitation, and transfer to a neonatal intensive care unit (NICU).Results: For a total of 584 consecutive births, paediatrician assistance was requested before delivery in 170 cases (30.5%) and after in 78 cases (13.3%). 78% of the newborns requiring PPV, 95.8% of those requiring endotracheal intubation and 86.3% of those requiring transfer to the NICU matched recently published prenatal criteria for paediatrician assistance. Along with a low Apgar score and a cord blood pH<7.20, these criteria covered 95% of the prenatal and early postnatal requests for paediatrician assistance.Conclusions: These criteria for neonatal resuscitation in the delivery room would enable medical staff to anticipate the need for paediatrician assistance.
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https://hal-u-picardie.archives-ouvertes.fr/hal-03548032
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Soumis le : samedi 29 janvier 2022 - 13:36:27
Dernière modification le : lundi 29 août 2022 - 16:00:22

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Pierre Tourneux, Loriane Pascard, Pascale Daune, Jean Gondry, Cecile Fontaine. In a tertiary maternity hospital, when should a paediatrician be present in the delivery room?. Journal of Maternal-Fetal & Neonatal Medicine, Taylor & Francis, 2017, 30 (14), pp.1641-1645. ⟨10.1080/14767058.2016.1220527⟩. ⟨hal-03548032⟩

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