Korean J Perinatol.  2010 Jun;21(2):155-164.

Neonatal Resuscitation at Delivery Room in "gray zone" Extremely Low Birth-Weight Infants (gestational age < or =24 weeks)

• Choi SH
• Seo HJ
• Yoo HS
• Ahn SY
• Chang YS
• Park WS

Abstract

OBJECTIVE
This study investigated the effects of modified neonatal resuscitation program (M-NRP) which intends to keep minimal handling, to stabilize initial vital signs in extremely low birth weight infants (ELBWI) in Samsung Medical Center, NICU.
METHODS
Medical records of 128 ELBWI with gestational age (GA) < or =24 weeks who had been admitted to the NICU of SMC from January 2000 to December 2008 were reviewed retrospectively. The data of these patients with M-NRP (n=62) were compared with those with classic NRP (C-NRP) (n=66).
RESULTS
These patients who received M-NRP had significantly higher in survived discharge rate (66% vs 47%, P=0.034), lower in mask ventilation (29% vs 97%, P<0.001), shorter incubator-in time (81+/-25min vs 138+/-50min, P<0.001), and higher 1'/5' APGAR score (1': 3.9+/-1.5 vs 2.6+/-1.3, P<0.001, 5': 6.6+/-1.7 vs 5.4+/-1.8, P<0.001) than those who received C-NRP.
CONCLUSION
Improvement in survived discharge rate and 1'/5' APGAR score were noted in M-NRP group compared to C-NRP group in the management of GA < or =24 weeks ELBWI

Keyword

Neonatal resuscitation program; Delivery room management

MeSH Terms

Apgar Score
Delivery Rooms
Gestational Age
Handling (Psychology)
Humans
Infant
Infant, Low Birth Weight
Infant, Newborn
Masks
Medical Records
Resuscitation
Retrospective Studies
Ventilation
Vital Signs