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At least 19 recordsLinked to original sources
PubMedDate not supplied

Room air resuscitation versus oxygen resuscitation in the delivery room.

The use of 100% oxygen for delivery room resuscitation is currently the recommended standard of the American Academy of Pediatrics and the Neonatal Resuscitation Program. However, there is mounting evidence from animal and human studies suggesting that resuscitation with room air (RA, 21% oxygen), including positive pressure ventilation with bag and face mask, may be as effective as that with 100% oxygen, and that the use of 100% oxygen may pose a risk of adverse physiologic sequelae. Resuscitation with RA has been demonstrated to result in faster recovery and improved neonatal mortality in comparison to 100% oxygen resuscitation. In addition, studies of normal oxygen saturation immediately after birth suggest delivery room personnel may be rushing to high saturation unnecessarily. The question for perinatal medical and nursing personnel involved in newborn resuscitation in the delivery room is whether the use of RA reduces the possible adverse effects of 100% oxygen, including delay in short-term stabilization, death, neurological disability, and possible secondary oxygen free radical injury. A systematic synopsis of both animal studies and human studies involving the advantages, disadvantages, possible risks, and short- and long-term effects of these 2 methods of resuscitation is presented.

Air↗
PubMed1999

The present state of family-centered obstetrics in Hungary: preparation for the delivery, open delivery-room, rooming-in.

This paper gives details of a survey carried out at hospitals in Hungary to examine how widespread family-centred obstetrics is, and to what extent obstetrics departments are able to meet the increasing demands exerted by society. Several aspects were focused on, including the characteristics of obstetrics departments, the preparation for delivery and maternity, open delivery-rooms, delivery with the partner, early mother-baby contact, rooming-in and to what extent they operate. The study describes the findings on the basis of data sent back by 87 maternity departments, 81.3% of the institutions in the country. The data reveals that 96.6% of wards have preparatory courses for delivery and maternity, 98.8% of open delivery-rooms welcome the partner at the delivery, early mother-baby contact is possible in 97.7%, and 95.6% offer rooming-in. The study gives a comprehensive view of the present state of family-centred obstetrics, offering an opportunity for everyone to re-evaluate their practices and set up new objectives so that every mother and family can have easy access to family-centred obstetrics.

Delivery Rooms↗
PubMed2004

[Sudden death of neonates in the delivery room].

Healthy newborn death in the delivery room is uncommon. Unlike for sudden infant death syndrome well described in infants between 2 and 6 months of age, few publications have studied this event. We report two cases of asymptomatic term newborns who died unexpectedly in the delivery room. Noteworthy, these newborns were sleeping in prone position on their mother. The Agence Nationale d'Accreditation et d'Evaluation en Sante (ANAES) published recommendations to promote breast-feeding including uninterrupted early contact between the infant and his mother. However, immediately after birth, the newborn may be particularly vulnerable. The application of this recommendation unwisely could be dangerous for newborns allowed to stay on their mother without any monitoring, or medical supervision. We would like to point out the importance of healthy newborn supervision within the first hours of life that can be done without interfering with the mother-child bonding.

Breast Feeding↗
PubMedDate not supplied

Pediatric coverage of the delivery room: an analysis of manpower utilization.

OBJECTIVES: To determine the frequency and pattern of pediatric calls to the delivery room and the actual type of medical care administered to the newborn in the delivery room. STUDY DESIGN: This was a prospective observational study of 2554 births in a university-affiliated tertiary care hospital. Existing protocols required the attendance of a pediatric resident or neonatal fellow at all deliveries other than uncomplicated vaginal term births. The pediatrician's activity in the delivery room was characterized as either "medical care" or "minimal care." Results were analyzed by diagnostic category. RESULTS: Pediatricians attended 646 of the deliveries (25%). Medical care was administered in 204 of the deliveries, representing 31% of the time they were at a delivery and 8% of all deliveries. The three major indications for pediatric delivery room attendance were cesarean sections (n = 253; 39%), presence of meconium in amniotic fluid (n = 117; 18%), and vacuum deliveries (n = 117; 18%). Medical care was required only in 1 of 56 cases of elective repeat cesarean sections, in 1 of 20 cases of a cesarean section for nonprogress of labor, and in 1 of 38 cases when thin meconium was present. In contrast, medical care was needed in 52 of 81 (64%) cases of cesarean sections for fetal distress, in 11 of 11 (100%) of the cesarean sections for multiple births, and in 67 of 89 (85%) cases of thick meconium (p < 0.05). There was a need for medical attendance after the birth in less than 1% of 1908 cases for which the pediatrician was not initially called to delivery room. CONCLUSION: Because their medical skills were needed only one of three times that pediatricians were called to the delivery room, and then mostly in specific risk situations, more selective use of pediatric manpower for delivery room coverage may lead to a more efficient use of medical resources without any apparent increase in patient morbidity.

Cost-Benefit Analysis↗
PubMed1989

[A study on stress of the nursing student in delivery room practice].

The purpose of this study is the extent of the stress of the nursing students during the period of delivery room practice, according to whether they have their practical experience and in which situations they received. The subject of this study is 62 nursing students (who experienced delivery room practice at an early stage) in Kang Weon C. Junior College of nursing and 62 nursing students (who experienced delivery room practice at a latter stage) in J. Junior College of Nursing (total 124 students) from March 1988 to December 1988. The results of this study are summerized as follows. 1. According to the general characteristics, it revealed that they have not any relations between the religion, the numbers of family, health status and the extent of stress during the nursing students have experienced in the delivery room practice (p greater than .05). 2. It revealed that there were much differences to the extent of stress they have experienced during the delivery room practice between the nursing students (who experienced delivery room practice at an early stage) in C. Junior College of Nursing and nursing students (who experienced delivery room practice at a latter stage) in J. Junior College of Nursing (p less than .000). 3. In ten items of the stress that was confronted by nursing practice, they had much differences to the extent of stress perception for the students during the period of delivery room practice between each college (p less than .05).(ABSTRACT TRUNCATED AT 250 WORDS)

Delivery Rooms↗
PubMed1983

[Satisfaction of couples towards birth when using a birthing room or the traditional delivery room.].

Following a random distribution, two groups of couples, users of the B.R. (birth room) and users of the T. R. (traditional room) were compared in terms of each partner's feeling of satisfaction in relation to the giving birth process. Statistical analysis of the means of the B.R. and T.R. fathers, of the B.R. and T.R. mothers, three days after delivery and three months later, yields the following results : following birth, both fathers and mothers of the B.R. group indicate a higher feeling of satisfaction than the T.R. mothers and fathers in relation to the environment. Mothers of the B.R. and T.R. are equally satisfied in relation to the amount of time spent with their infant, whereas fathers of the B. R. are more satisfied than their spouses and more satisfied than the T.R. fathers. Three months later, the only difference to these above-mentioned results, is the higher degree of satisfaction of B.R. mothers over T.R. mothers in relation to the length of contact with their infant right after birth.

English Abstract↗
PubMed1976

[Presence of the husband in the delivery room (author's transl)].

For the past 7 years a single delivery room was available for all patients in labour. Our unit delivers approximately 1200 babies yearly. It was therefore possible to encourage the husbands progressively to be present during the delivery of their wives. Almost one half of the husbands have since been present during the delivery of their wives. The majority of the couples responded positively to the offer of the husband's presence in the delivery room. 650 couples were extensively questioned following the experience and over 90% of these couples were happy with the experience. Doubtful husbands were advised to remain. Husbands with pronounced aversion against remaining in the delivery room were not persuaded to stay. The husbands had the possibility to leave the room for short breaks and to leave the room during examinations and procedures. Delivery room clothing was supplied. For the psychic benefit of the husband, the husband was kept busy with mild services. Presence of the husband during the actual delivery of the infant was always voluntary since there was no psychologic benefit to remain during the short anaesthesia used during delivery. In many cases husbands who had not even planned to remain stayed during the actual delivery and were very impressed. Late questioning after discharge from the hospital showed that almost all couples valued the experience as positive and planned to have the husband present for the next delivery. The presence of the husband during the delivery of his infant offers a chance for the additional humanization of obstetrics which appears to be very important because of the increasing danger of depersonalization of the labour and delivery process due to the new technology. Presence of the husband during the delivery in the hospital permits a partial return to the "idyllic" state of domicilary obstetrics.

Female↗
PubMed2005

Heat loss prevention for preterm infants in the delivery room.

OBJECTIVE: Preterm infants are prone to hypothermia immediately following birth. Among other factors, excessive evaporative heat loss and the relatively cool ambient temperature of the delivery room may be important contributors. Most infants <29 weeks gestation had temperatures <36.4 degrees C on admission to our neonatal unit (NICU). Therefore we conducted a randomized, controlled trial to evaluate the effect of placing these infants in polyurethane bags in the delivery room to prevent heat loss and reduce the occurrence of hypothermia on admission to the NICU. METHODS: After parental consent was obtained, infants expected to be <29 weeks gestation were randomized to intervention or control groups just prior to their birth. Infants randomized to the intervention group were placed in polyurethane bags up to their necks immediately after delivery before being dried. They were then resuscitated per NRP guidelines, covered with warm blankets, and transported to the NICU, where the bags were removed and rectal temperatures were recorded. Control infants were resuscitated, covered with warm blankets, and transported without being placed in polyurethane bags. Delivery room temperatures were recorded so this potentially confounding variable could be assessed. RESULTS: Intervention patients were less likely than control patients to have temperature < 36.4 degrees C on admission , 44 vs 70% (p<0.01) and the intervention group had a higher mean admission temperature, 36.5 degrees C vs 36.0 degrees C (p<0.003). This effect remained significant (p<0.0001) when delivery room temperature was controlled in analysis. Warmer delivery room temperatures (>/=26 degrees C) were associated with higher admission temperatures in both intervention and control infants, but only the subgroup of intervention patients born in warmer delivery rooms had a mean admission temperature >36.4 degrees C. CONCLUSIONS: Placing infants <29 weeks gestation in polyurethane bags in the delivery room reduced the occurrence of hypothermia and increased their NICU admission temperatures. Maintaining warmer delivery rooms helped but was insufficient in preventing hypothermia in most of these vulnerable patients without the adjunctive use of the polyurethane bags.

Analysis of Variance↗
PubMed1989

Management of neonatal emergencies in the delivery room.

Emergencies in the delivery room are best handled by anticipation and a team approach. Basic principles of resuscitation should be applied in all cases by a team skilled in airway management and ventilatory and circulatory support. Specialized management schemes are described for rapid treatment and effective stabilization of infants with air leak syndromes, hydrops fetalis, disorders of the airway, and diaphragmatic and abdominal wall defects.

Delivery, Obstetric↗
PubMed2006

Delivery room resuscitation past, present, and the future.

Delivery room resuscitation guidelines evolved in the late 1980s in the United States, based largely on clinical experience with some supportive experimental evidence. Subsequently over time, there has been an increasing emphasis toward the practice of evidence-based medicine. Despite difficulties in conducting research in the delivery room, several large randomized studies have been undertaken over the past two decades that have provided a scientific basis for some of the new guidelines.

Consensus Statements as Topic↗