A statement from the Paediatric Life Support Working Group and approved by the Executive Committee of the European Resuscitation Council: European Resuscitation Council Guidelines 2000 for Newly Born Life Support
Introduction
The European Resuscitation Council (ERC) last issued guidelines for the resuscitation of the newly born infant in 1999 [1]. This was an ‘Advisory Statement’ of the International Liaison Committee on Resuscitation (ILCOR). Following this, the American Heart Association and the Neonatal Resuscitation Programme Steering Committee of the American Academy of Paediatrics and representatives of the World Health organisation, together with representatives from ILCOR, undertook a series of evidence based evaluations of the science of resuscitation which culminated in the publication of ‘Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care’ in August 2000 [2], [3]. The Paediatric Life Support Working Party of the European Resuscitation Council has considered this document and the supporting scientific literature and presents the ERC Newly Born Guidelines in this paper. Readers will find few changes to the ILCOR Advisory Statement recommendations as the new evidence that has emerged since its publication in 1999 has been confirmatory of the ILCOR recommendations.
Section snippets
Background to newly born life support
In the following text the masculine includes the feminine.
The need for resuscitation at birth can be predicted with more readiness than at any other time of life. The condition of the baby may be considered at risk if he is known to be showing signs of fetal distress or is significantly pre-term. Many delivery units will have a policy that a paediatrician should attend any complex delivery including caesarian sections, multiple births etc. However, whatever guidelines are used some babies will
Sequence of actions
In the following text the masculine includes the feminine.
1. At delivery collect the baby in a clean, warm towel.
2. Clamp the cord
The cord can usually be clamped about a min after delivery, the baby being kept at approximately the same level as the mother's uterus until this time. Very early clamping, and clamping while the baby is held above the level of the placenta can cause hypovolaemia.
3. Dry the baby and wrap in a clean, warm towel.
4. Assess the baby's condition by checking:
Colour — look
References (7)
- et al.
Resuscitation of the newly born infant: an advisory statement from the Paediatric Working Group of the International Liaison Committee on Resuscitation
Resuscitation
(1999) - et al.
Physiologic responses to prolonged and slow rise inflation in the resuscitation of the asphyxiated newborn infant
J. Pediatr.
(1981) - American Heart Association in collaboration with the International Liaison Committee on Resuscitation (ILCOR)....
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