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Therapeutic hypothermia (TH) improves mortality and neurological outcome for neonates affected by hypoxic-ischaemic encephalopathy.1 In the Republic of Ireland there are 20 maternity units, with over 50% of units having an annual delivery rate of 2500 or less. Neonatal care is provided in all maternity units but only the eight largest units have a consultant neonatologist. Smaller neonatal units would rarely encounter suitable candidates for TH and presently there is no national strategy in place for the provision of TH. In addition, the neonatal transport service in the Republic …
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.