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Neonatal outcomes based on mode and intensity of delivery room resuscitation

Journal of Perinatology volume 37, pages 1103–1107 (2017)Cite this article

Subjects

Abstract

Objective:

To examine outcomes of neonates based on the mode and intensity of resuscitation received in the delivery room (DR).

Study Design:

A retrospective study of 439 infants with birth weight ⩽1500 g receiving DR resuscitation at two hospital centers in Philadelphia, Pennsylvania.

Results:

Of 439 infants, 22 (5%) received routine care, 188 (43%) received noninvasive positive pressure ventilation (PPV) and 229 (52%) received endotracheal tube (ETT) intubation in the DR. Adjusted odds for respiratory distress syndrome was associated with lower rates in infants requiring lower intensity of DR resuscitation (P<0.001). Noninvasive PPV vs ETT was associated with decreased odds of developing intraventricular hemorrhage and retinopathy of prematurity (P<0.05). Routine vs noninvasive PPV or ETT had decreased odds of developing bronchopulmonary dysplasia (P<0.05).

Conclusion:

Decreased intensity of DR resuscitation was associated with a decreased risk of specific morbidities.

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Authors and Affiliations

  1. St George’s University School of Medicine, St George’s, Grenada

    A Bashir

  2. Department of Pediatrics, Hahnemann University Hospital, Philadelphia, PA, USA

    A Bashir, E Anday & V Bhandari

  3. Division of Neonatal-Perinatal Medicine, Department of Pediatrics, St Christopher’s Hospital for Children/Drexel University College of Medicine, Philadelphia, PA, USA

    A Bashir, E Anday & V Bhandari

  4. Department of Pediatrics, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA

    B Bird & H Taylor

  5. Drexel University Dornsife School of Public Health, Philadelphia, PA, USA

    L Wu & S Welles

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  1. A Bashir
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  2. B Bird
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  3. L Wu
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  4. S Welles
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  5. H Taylor
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  6. E Anday
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  7. V Bhandari
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Correspondence to V Bhandari.

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The authors declare no conflict of interest.

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Bashir, A., Bird, B., Wu, L. et al. Neonatal outcomes based on mode and intensity of delivery room resuscitation. J Perinatol 37, 1103–1107 (2017). https://doi.org/10.1038/jp.2017.102

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  • DOI: https://doi.org/10.1038/jp.2017.102

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