Impact of standardized prenatal documentation among newborns with ductal-dependent heart disease.
J Perinatol
; 40(10): 1531-1536, 2020 10.
Article
em En
| MEDLINE
| ID: mdl-32398739
ABSTRACT
INTRODUCTION:
Absent risk stratification, variable physiology of ductal-dependent congenital heart disease (DD-CHD) imparts risk of over-medicalization and unnecessary exclusion from early parental bonding.METHODS:
Single-center retrospective cohort study of term infants with isolated prenatally diagnosed DD-CHD expected to require immediate advanced resuscitation/intervention (2005-2017). Standardized documentation (2015 onward) included diagnosis, expected saturations, and allowability of postnatal parental bonding.RESULTS:
The study cohort (n = 386) included 289 patients in the pre-standardized documentation era and 97 in the post-era; the groups had similar characteristics. Fewer infants were born by cesarean in the later era (32% vs. 22%; p = 0.049). Decrease in any respiratory intervention (38-26%; p = 0.03) followed standardized documentation. More patients had any bonding time (22-74%; p < 0.0001), without increase in CPAP or intubation in the first two hours of life (6.9% vs. 7.2%; p = 0.92).CONCLUSION:
Standardized predelivery documentation for neonates with DD-CHD decreased unnecessary respiratory intervention and increased parental bonding.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cardiopatias Congênitas
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article