A review of delivery room resuscitation in very low birth weight infants in a middle income country
Autor: | Faustine Agaba, Davies Va, Peter A. Cooper, Tanusha Ramdin, Lethile Madzudzo, Lea Chirwa, Daynia E Ballot, David Rakotsoane |
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Rok vydání: | 2017 |
Předmět: |
Resuscitation
Pediatrics medicine.medical_specialty medicine.medical_treatment lcsh:Medicine Middle income country 03 medical and health sciences Neonate 0302 clinical medicine 030225 pediatrics medicine Intubation 030212 general & internal medicine Mortality business.industry Mortality rate lcsh:R Delivery room Metabolic acidosis Hypothermia medicine.disease Low birth weight medicine.symptom business Research Article |
Zdroj: | Maternal Health, Neonatology and Perinatology Maternal Health, Neonatology and Perinatology, Vol 3, Iss 1, Pp 1-8 (2017) |
ISSN: | 2054-958X |
Popis: | Background Advanced levels of delivery room resuscitation in very low birth weight infants are reported to be associated with death and complications of prematurity. In resource limited settings, the need for delivery room resuscitation is often used as a reason to limit care in these infants. Methods This was a review of delivery room resuscitation in very low birth weight infants born in a tertiary hospital in South Africa between 01 January 2013 and 30 June 2016. Outcomes included death and serious complications of prematurity. Advanced delivery room resuscitation was defined as the need for intubation, chest compressions or the administration of adrenaline. Results A total of 1511 very low birth weight infants were included in the study. The majority (1332/1511 (88.2%) required oxygen in the delivery room. Face mask ventilation was needed in 45.2% (683/1511). Advanced delivery room resuscitation was only required in 10.6% (160/1511). More than half the infants who required advanced delivery room resuscitation died (89/160; 55.6%). Advanced delivery room resuscitation was required in significantly more infants 1000 grams (83/539 (15.4%) vs 77/972 (7.9%) p |
Databáze: | OpenAIRE |
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