Neonatal outcomes based on mode and intensity of delivery room resuscitation

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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.

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