BackgroundThe International Liaison Committee on Resuscitation (ILCOR) and UK Resuscitation Council (UKRC) updated guidance on newborn resuscitation in late 2010.ObjectivesTo describe delivery room (DR) practice in stabilisation following very preterm birth (<32 weeks gestation) in the UK.MethodsWe emailed a national survey of current DR stabilisation practice of very preterm infants to all UK delivery units and conducted telephone follow-up calls.ResultsWe obtained 197 responses from 199 units (99%) and complete data from 186 units. Tertiary units administered surfactant in the DR (93% vs. 78%, P = 0.01), instituted DR CPAP (77% vs. 50%, P = 0.0007), provided PEEP in the delivery room (91% vs. 69%, P = 0.0008), and started resuscitation in air or blended oxygen (91% vs. 78%, P = 0.04) more often than non-tertiary units. Routine out of hours consultant attendance at very preterm birth was more common in tertiary units (82% vs. 55%, P = 0.0005).ConclusionsMarked variation in DR stabilisation practice of very preterm infants persisted one year after the publication of revised UKRC guidance. Delivery room care provided in non-tertiary units was less consistent with current international guidance.

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AbstractsBackground Delayed cord clamping is associated with increased neonatal hemoglobin levels, and improved iron status in infants at 4-6 months. There are no previous studies evaluating effects from timing of clamping on development in term infants. Objective Does the time for umbilical cord clamping affect psychomotor development evaluated with Ages and Stages Questionnaire (ASQ) in 4-month infants? Design/methods Randomized controlled trial investigating effect of delayed cord clamping (≥180 sec, DCC) versus early cord clamping (≤10 sec, ECC) in 382 full-term normal deliveries. After 4 months, parents reported their infant's development by the ASQ. Results 365 (96%) questionnaires were returned. The mean total ASQ score did not differ between groups. The DCC group had a higher mean score (SD) in the domain problem solving, 55.3 (7.2) vs. 53.5 (8.2), p=0.03 and a lower score in personal-social; 49.5 (9.3) vs. 51.8 (8.1), p=0.01. There were no difference between the DCC and ECC groups concerning the frequency of infants under cut-off score (table).Abstract 20 Table 1 DCC n(%) ECC n(%) p Communication < 33.3 4 (2.2) 4 (2.2) 1.0

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