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Archives of Disease in Childhood - Fetal and Neonatal Edition 2008;93(Supplement 1):Fa9-Fa10
Copyright © 2008 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

ORAL PRESENTATIONS

Session 8

Session 8B BAPM/NNS: Resuscitation, Early Care and Prematurity

The first 150 words of the full text of this article appear below.


8.5 EPICURE 2: INTERVENTIONS TO STABILISE EXTREMELY PRETERM BABIES AT BIRTH

K. Costeloe1, E. S. Draper2, J. Myles1, E. M. Hennesy1. 1Barts and the London School of Medicine and Dentistry, London, UK, 2University of Leicester, Leicester, UK

Background: Survival of liveborn babies at 23 weeks’ gestation in England is low at approximately 13% (EPICure2, unpublished data); this may reflect reluctance to stabilise and provide intensive care for these babies.

Objective: To record interventions at birth and to study differences between management at different gestations.

Methods: Details of signs of life and interventions at birth were recorded for all births 23 + 0 to 26 + 6 weeks in English hospitals in 2006.

Results: 1762 livebirths were recorded; 318 (18%) at 23 weeks. Although statistically fewer than at other gestations, nonetheless 83% of 23-week gestation infants were offered active support. Of these, similar proportions across gestations were intubated by 5 minutes and more extremely immature babies . . . [Full text of this article]


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