Original ArticleTiming of Interventions in the Delivery Room: Does Reality Compare with Neonatal Resuscitation Guidelines?
Section snippets
Methods
We performed this study at 2 hospitals, the Royal Women's Hospital (RWH) in Melbourne, Australia and the National Maternity Hospital (NMH) in Dublin, Ireland. Medical and nursing staff received training in neonatal resuscitation in accordance with ILCOR recommendations. High-risk deliveries in both hospitals were attended by a resuscitation team led by a consultant neonatologist or neonatal fellow accompanied by trainee doctors and neonatal nurses.
We defined high-risk deliveries as those in
Results
At RWH, at total of 12 833 infants were born between January 2004 and May 2006, 584 of whom had a birth weight <1500 g. At NMH, 16 630 infants were born between August 2010 and May 2012, 221 of whom weighed <1500 g. Videos from 194 resuscitations were reviewed. Five infants in whom the exact time of birth could not be determined from recordings were excluded from the analysis; thus, a total of 189 videos (137 from RWH and 52 from NMH) were analyzed. The infants had a median gestational age 29
Discussion
First reported by Finer and coworkers,12, 13, 14 video recording of newborns for auditing, teaching, and research purposes has been used to assess many aspects of DR care.15, 16, 17, 18, 19, 20 We have determined the time taken to perform tasks in the DR in a large number of high-risk infants at 2 hospitals from prospectively collected high quality videos. Our study has limitations, however. We were unable to assess certain aspects of performance from the video recordings; for instance, we
References (24)
- et al.
European Resuscitation Council guidelines for resuscitation 2010, section 7: resuscitation of babies at birth
Resuscitation
(2010) - et al.
Auditing resuscitation of preterm infants at birth by recording video and physiological parameters
Resuscitation
(2012) - et al.
Effect of polyethylene occlusive skin wrapping on heat loss in very low birth weight infants at delivery: a randomized trial
J Pediatr
(1999) - et al.
Heat loss prevention (HeLP) in the delivery room: a randomized controlled trial of polyethylene occlusive skin wrapping in very preterm infants
J Pediatr
(2004) - et al.
Feasibility of and delay in obtaining pulse oximetry during neonatal resuscitation
J Pediatr
(2005) - et al.
Neonatal resuscitation: toward improved performance
Resuscitation
(2002) - et al.
Duration of intubation attempts during neonatal resuscitation
J Pediatr
(2004) - et al.
Interobserver variability of the 5-minute Apgar score
J Pediatr
(2006) - et al.
2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations, part 11: neonatal resuscitation
Circulation
(2010) - et al.
American Heart Association. Neonatal resuscitation: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care
Pediatrics
(2010)
Newborn life support
Cited by (0)
Funded by the National Children's Research Center, Ireland; The Royal Women's Hospital, Melbourne; Murdoch Children's Research Institute, Melbourne; and National Health and Medical Research Council, Australia. The authors declare no conflicts of interest.