Background: Whereas good data are available on the resuscitation of infants, little is known regarding support of
postnatal transition in low-risk term infants after c-section. The present study was performed to describe current
delivery room (DR) management of term infants born by c-section in our institution by analyzing videos that were
recorded within a quality assurance program.
Methods: DR- management is routinely recorded within a quality assurance program. Cross-sectional study of
videos of term infants born by c-section. Videos were analyzed with respect to time point, duration and number of
all medical interventions. Study period was between January and December 2012.
Results: 186 videos were analyzed. The majority of infants (73%) were without support of postnatal transition. In
infants with support of transition, majority of infants received respiratory support, starting in median after
3.4 minutes (range 0.4-14.2) and lasting for 8.8 (1.5-28.5) minutes. Only 33% of infants with support had to be
admitted to the NICU, the remaining infants were returned to the mother after a median of 13.5 (8-42) minutes. A
great inter- and intra-individual variation with respect to the sequence of interventions was found.
Conclusions: The study provides data for an internal quality improvement program and supports the benefit of
using routine video recording of DR-management. Furthermore, data can be used for benchmarking with current
practice in other centers.
| Identifer | oai:union.ndltd.org:DRESDEN/oai:qucosa.de:bsz:14-qucosa-167496 |
| Date | 18 May 2015 |
| Creators | Konstantelos, Dimitrios, Ifflaender, Sascha, Dinger, Jürgen, Burkhardt, Wolfram, Rüdiger, Mario |
| Contributors | Technische Universität Dresden, Medizinische Fakultät Carl Gustav Carus, BioMed Central, |
| Publisher | Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden |
| Source Sets | Hochschulschriftenserver (HSSS) der SLUB Dresden |
| Language | English |
| Detected Language | English |
| Type | doc-type:article |
| Format | application/pdf |
| Source | BMC Pregnancy and Childbirth 2014, Vol. 14, artical 225, 1471-2393 |
Page generated in 0.0023 seconds