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
Rok vydání: 2017
Předmět:
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