Neonatal outcomes based on mode and intensity of delivery room resuscitation

J Perinatol. 2017 Oct;37(10):1103-1107. doi: 10.1038/jp.2017.102. Epub 2017 Jul 6.

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.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Case-Control Studies
  • Cesarean Section / statistics & numerical data
  • Continuous Positive Airway Pressure / statistics & numerical data*
  • Delivery Rooms
  • Female
  • Humans
  • Infant, Newborn
  • Infant, Very Low Birth Weight
  • Intensive Care Units / statistics & numerical data
  • Intubation, Intratracheal / adverse effects
  • Intubation, Intratracheal / statistics & numerical data*
  • Male
  • Noninvasive Ventilation / statistics & numerical data*
  • Respiratory Distress Syndrome, Newborn / epidemiology
  • Resuscitation / adverse effects
  • Resuscitation / methods*
  • Retrospective Studies
  • Young Adult