Delivery room management of the newborn.

Neonatal resuscitation is an attempt to facilitate the dynamic transition from fetal to neonatal physiology. This article outlines the current practices in delivery room management of the neonate. Developments in cardiopulmonary resuscitation techniques for term and preterm infants and advances in the areas of cerebral resuscitation and thermoregulation are reviewed. Resuscitation in special circumstances (such as the presence of congenital anomalies) are also covered. The importance of communication with other members of the health care team and the family is discussed. Finally, future trends in neonatal resuscitation are explored.

[1]  N. Finer,et al.  Using Intensive Care Technology in the Delivery Room: A New Concept for the Resuscitation of Extremely Preterm Neonates , 2008, Pediatrics.

[2]  H. Halliday,et al.  Endotracheal intubation at birth for preventing morbidity and mortality in vigorous, meconium-stained infants born at term. , 2001, The Cochrane database of systematic reviews.

[3]  J. Perlman,et al.  Medications during resuscitation -- what is the evidence? , 2001, Seminars in neonatology : SN.

[4]  H. Sarnat,et al.  Neonatal encephalopathy following fetal distress. A clinical and electroencephalographic study. , 1976, Archives of neurology.

[5]  E. Szyld,et al.  Delivery Room Management of the Apparently Vigorous Meconium-stained Neonate: Results of the Multicenter, International Collaborative Trial , 2000, Pediatrics.

[6]  J. Drew Immediate intubation at birth of the very-low-birth-weight infant. Effect on survival. , 1982, American journal of diseases of children.

[7]  William Oh,et al.  Whole-body hypothermia for neonates with hypoxic-ischemic encephalopathy. , 2005, The New England journal of medicine.

[8]  J. Hepworth,et al.  Early skin-to-skin contact for mothers and their healthy newborn infants. , 2003, The Cochrane database of systematic reviews.

[9]  R. Traystman,et al.  Hypothermic cerebral reperfusion and recovery from ischemia. , 1991, The American journal of physiology.

[10]  T R Gunn,et al.  Neuroprotection With Prolonged Head Cooling Started Before Postischemic Seizures in Fetal Sheep , 1998, Pediatrics.

[11]  B. Kaufman Neural tube defects. , 2004, Pediatric clinics of North America.

[12]  Z. Vaknin,et al.  Endotracheal epinephrine: a call for larger doses. , 2002, Anesthesia and analgesia.

[13]  M. Escobedo Moving from experience to evidence: changes in US Neonatal Resuscitation Program based on International Liaison Committee on Resuscitation Review , 2008, Journal of Perinatology.

[14]  J. Perlman,et al.  Delivery room resuscitation past, present, and the future. , 2006, Clinics in perinatology.

[15]  William Oh,et al.  Whole-body hypothermia for neonates with hypoxic-ischemic encephalopathy. , 2005 .

[16]  D. Vidyasagar,et al.  Assisted ventilation in infants with meconium aspiration syndrome. , 1975, Pediatrics.

[17]  O. Saugstad,et al.  Bronchopulmonary dysplasia and oxidative stress: are we closer to an understanding of the pathogenesis of BPD? , 1997, Acta paediatrica.

[18]  J. L'Herault,et al.  The effectiveness of a thermal mattress in stabilizing and maintaining body temperature during the transport of very low-birth weight newborns. , 2001, Applied nursing research : ANR.

[19]  J. Magny,et al.  Perinatal Management of Fetal Cardiac Anomalies in a Specialized Obstetric-Pediatrics Center , 2001, American journal of perinatology.

[20]  A. Laptook,et al.  Modest Hypothermia Provides Partial Neuroprotection when Used for Immediate Resuscitation after Brain Ischemia , 1997, Pediatric Research.

[21]  G. Gibbons,et al.  The emerging concept of vascular remodeling. , 1994, The New England journal of medicine.

[22]  E. Molloy,et al.  Variation in inspiratory time and tidal volume with T-piece neonatal resuscitator: association with operator experience and distraction. , 2008, Resuscitation.

[23]  N. Finer,et al.  Resuscitation of Preterm Neonates by Using Room Air or 100% Oxygen , 2008, Pediatrics.

[24]  C. Stoll,et al.  Omphalocele and gastroschisis and associated malformations , 2008, American journal of medical genetics. Part A.

[25]  V. Yu Persistent pulmonary hypertension in the newborn. , 1993, Early human development.

[26]  D. Friedman,et al.  Autoimmune-associated congenital heart block: demographics, mortality, morbidity and recurrence rates obtained from a national neonatal lupus registry. , 1998, Journal of the American College of Cardiology.

[27]  Louis P Halamek,et al.  The simulated delivery-room environment as the future modality for acquiring and maintaining skills in fetal and neonatal resuscitation. , 2008, Seminars in fetal & neonatal medicine.

[28]  H. Nielsen,et al.  Evaluation of the Porta-Warm mattress as a source of heat for neonatal transport. , 1976, Pediatrics.

[29]  J. A. Fardig,et al.  A comparison of skin-to-skin contact and radiant heaters in promoting neonatal thermoregulation. , 1980, Journal of nurse-midwifery.

[30]  G. Pilu,et al.  Diagnosis and management of fetal cardiac anomalies: 10 years of experience at a single institution , 2001, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[31]  M. Escobedo,et al.  2005 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) of Pediatric and Neonatal Patients: Neonatal Resuscitation Guidelines , 2006, Pediatrics.

[32]  A. Becker,et al.  Oxygen saturation in healthy newborn infants immediately after birth measured by pulse oximetry , 2002, Archives of Gynecology and Obstetrics.

[33]  N. Vain,et al.  Oropharyngeal and nasopharyngeal suctioning of meconium-stained neonates before delivery of their shoulders: multicentre, randomised controlled trial , 2004, The Lancet.

[34]  S. Vohra,et al.  Effect of polyethylene occlusive skin wrapping on heat loss in very low birth weight infants at delivery: a randomized trial. , 1999, The Journal of pediatrics.

[35]  Andrew Whitelaw,et al.  Selective head cooling with mild systemic hypothermia after neonatal encephalopathy: multicentre randomised trial , 2005, The Lancet.

[36]  J. Hawdon Care of the Neonate , 2010 .

[37]  B. Schmidt,et al.  Heat Loss Prevention (HeLP) in the delivery room: A randomized controlled trial of polyethylene occlusive skin wrapping in very preterm infants. , 2004, The Journal of pediatrics.

[38]  S. Shankaran,et al.  Hypothermia as a treatment for birth asphyxia. , 2007, Clinical obstetrics and gynecology.

[39]  B. Simma,et al.  Conventional ventilation versus high‐frequency oscillation: Hemodynamic effects in newborn babies , 2000, Critical care medicine.

[40]  D. Rabi,et al.  Room air resuscitation of the depressed newborn: a systematic review and meta-analysis. , 2007, Resuscitation.

[41]  J. Skinner,et al.  Detection and management of life threatening arrhythmias in the perinatal period. , 2008, Early human development.

[42]  N. Finer,et al.  A comparison of three neonatal resuscitation devices. , 2005, Resuscitation.

[43]  G. Sedin,et al.  TRANSEPIDERMAL WATER LOSS IN NEWBORN INFANTS , 1982 .

[44]  S. Daga,et al.  Tracheal suction in meconium stained infants: a randomized controlled study. , 1994, Journal of tropical pediatrics.

[45]  M. Wyckoff,et al.  Endotracheal delivery of medications during neonatal resuscitation. , 2006, Clinics in perinatology.

[46]  G. Sedin,et al.  TRANSEPIDERMAL WATER LOSS IN NEWBORN INFANTS: V. Evaporation from the Skin and Heat Exchange during the First Hours of Life , 1980, Acta paediatrica Scandinavica.

[47]  D M Gaba,et al.  Time for a New Paradigm in Pediatric Medical Education: Teaching Neonatal Resuscitation in a Simulated Delivery Room Environment , 2000, Pediatrics.

[48]  M. Wyckoff,et al.  Naloxone during neonatal resuscitation: acknowledging the unknown. , 2006, Clinics in perinatology.

[49]  M. Dunn,et al.  Approaches to the initial respiratory management of preterm neonates. , 2003, Paediatric respiratory reviews.

[50]  K. Stenmark,et al.  Persistent pulmonary hypertension of the newborn. , 1995, American journal of respiratory and critical care medicine.

[51]  U. Ungerstedt,et al.  Post‐hypoxic hypothermia reduces cerebrocortical release of NO and excitotoxins , 1997, Neuroreport.

[52]  W Tin,et al.  Pulse oximetry, severe retinopathy, and outcome at one year in babies of less than 28 weeks gestation , 2001, Archives of disease in childhood. Fetal and neonatal edition.

[53]  S. Fawcus,et al.  Randomized controlled trial of skin‐to‐skin contact from birth versus conventional incubator for physiological stabilization in 1200‐ to 2199‐gram newborns , 2004, Acta paediatrica.

[54]  G C Anderson,et al.  Early skin-to-skin contact for mothers and their healthy newborn infants. , 2016, The Cochrane database of systematic reviews.

[55]  C. Morley,et al.  Continuous positive airway pressure during neonatal resuscitation. , 2006, Clinics in perinatology.

[56]  M. Vento,et al.  Resuscitation of Depressed Newborn Infants with Ambient Air or Pure Oxygen: A Meta-Analysis , 2005, Neonatology.

[57]  J. Carlin,et al.  Nasal CPAP or intubation at birth for very preterm infants. , 2008, The New England journal of medicine.

[58]  C. Curry,et al.  A population-based study of congenital diaphragmatic hernia. , 1992, Teratology.

[59]  V. Nadkarni,et al.  ILCOR advisory statement: resuscitation of the newly born infant. An advisory statement from the pediatric working group of the International Liaison Committee on Resuscitation. , 1999, Circulation.

[60]  T. Harrington,et al.  The Need for Delivery Room Intubation of Thin Meconium in the Low-Risk Newborn: A Clinical Trial , 1998, American journal of perinatology.

[61]  R. Goldstein,et al.  Congenital diaphragmatic defects and associated syndromes, malformations, and chromosome anomalies: a retrospective study of 60 patients and literature review. , 1998, American journal of medical genetics.

[62]  J. Harries Meconium in health and disease. , 1978, British Medical Bulletin.

[63]  A. Ades,et al.  Delivery room and early postnatal management of neonates who have prenatally diagnosed congenital heart disease. , 2005, Clinics in perinatology.

[64]  G. Shaw,et al.  Increasing prevalence of gastroschisis: population-based study in California. , 2008, The Journal of pediatrics.

[65]  S. Hurd,et al.  Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. , 1987, Pediatrics.

[66]  L. Halamek Educational Perspectives: The Genesis, Adaptation, and Evolution of the Neonatal Resuscitation Program , 2008 .

[67]  G. Shirali,et al.  Implications and limitations of an abnormal fetal echocardiogram. , 2004, The American journal of cardiology.

[68]  E. Bell Preventing Necrotizing Enterocolitis: What Works and How Safe? , 2005, Pediatrics.

[69]  V. Nadkarni,et al.  Resuscitation of the newly born infant: an advisory statement from the Pediatric Working Group of the International Liaison Committee on Resuscitation. , 1999, Resuscitation.

[70]  J. Kitterman,et al.  Treatment of the idiopathic respiratory-distress syndrome with continuous positive airway pressure. , 1971, The New England journal of medicine.

[71]  P. Dargaville,et al.  The Epidemiology of Meconium Aspiration Syndrome: Incidence, Risk Factors, Therapies, and Outcome , 2006, Pediatrics.

[72]  T. Moreland,et al.  Naloxone pharmacokinetics in the newborn. , 1980, British journal of clinical pharmacology.

[73]  C. Morley,et al.  The International Liaison Committee on Resuscitation (ILCOR) Consensus on Science With Treatment Recommendations for Pediatric and Neonatal Patients: Neonatal Resuscitation , 2006, Pediatrics.

[74]  D. Vidyasagar,et al.  Intrapartum and postdelivery management of infants born to mothers with meconium-stained amniotic fluid: evidence-based recommendations. , 2006, Clinics in perinatology.

[75]  H. Shwachman,et al.  Meconium in health and in disease. , 1979, Advances in Pediatrics.

[76]  M. Watkinson Temperature control of premature infants in the delivery room. , 2006, Clinics in perinatology.

[77]  M. Vento,et al.  Achievement of Targeted Saturation Values in Extremely Low Gestational Age Neonates Resuscitated With Low or High Oxygen Concentrations: A Prospective, Randomized Trial , 2008, Pediatrics.

[78]  M. Fogel,et al.  The single ventricle heart in the fetus: accuracy of prenatal diagnosis and outcome. , 1997, Journal of perinatology : official journal of the California Perinatal Association.