Delivery Room Management of Infants with Very Low Birth Weight in 3 European Countries-The Video Apgar Study.
J Pediatr
; 222: 106-111.e2, 2020 07.
Article
em En
| MEDLINE
| ID: mdl-32418815
ABSTRACT
OBJECTIVE:
To assess delivery room management of infants born preterm at 4 Level III perinatal centers in 3 European countries. STUDYDESIGN:
This was a prospective, multicenter observational study. Management at birth was video-recorded and evaluated (Interact version 9.6.1; Mangold-International, Arnstorf, Germany). Data were analyzed and compared within and between centers.RESULTS:
The infants (n = 138) differed significantly with respect to the median (25%, 75%) birth weight (grams) (Center A 1200 [700, 1550]; Center B 990 [719, 1240]; Center C 1174 [835, 1435]; Center D 1323 [971, 1515] [B vs A, C, D P < .05]), gestational week (Center A 28.4 [26.3, 30.0]; Center B 27.9 [26.7, 29.6]; Center C 29.3 [26.4, 31.0]; Center D 30.3 [28.0, 31.9]), Apgar scores, rates of cesarean delivery, and time spent in the delivery room. Management differed significantly for frequency and drying time, rates of electrocardiographic monitoring, suctioning or stimulation, and for fundamental interventions such as time for achieving a reliable peripheral oxygen saturation signal (seconds) (Center A 97.6 ± 79.3; Center B 65.1 ± 116.2; Center C 97.1 ± 67.0; Center D 114.4 ± 140.5; B vs A, C, D P < .001) and time for intubation (seconds) (Center A 48.7 ± 4.2; Center B 49.0 ± 30.7; Center C 69.1 ±37.9; Center D 65.1 ± 23.8; B vs D, P < .025). Mean procedural times did not meet guideline recommendations. The sequence of interventions was similar at all centers.CONCLUSIONS:
The Video Apgar Study showed great variability in and between 4 neonatal centers in Europe. The study also showed it is difficult to adhere to published guidelines for recommended times for important, basic measures such as peripheral oxygen saturation measurements and intubation.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Terapia Intensiva Neonatal
Limite:
Female
/
Humans
/
Male
/
Newborn
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article