First Golden Hour of Life

Abstract

Future research should focus on establishing normal blood pressure ranges and safe pain management during the "golden hour" and beyond. Future quality improvement should focus on improving subsequent temperature and blood glucose levels after admission umbilical artery and venous catheter placement.

Golden hour of neonatal life: Need of the hour

“…The current evidence that sought the effect of golden hour in care of VLBW/ ELBW reported increase in admission temperature after implementation of golden hour project [ 1 , 249 ], increase in number of infants with an admission temperature of 36.5 °C – 37.4 °C [ 250 ], decrease in the incidence of ROP and BPD [ 1 , 249 ], significant improvement in time of surfactant administration, time to start dextrose and amino acids infusion [ 7 , 249 , 250 ], significant decrease in time to give antibiotics [ 7 ], decrease in the incidence of IVH, faster placement of umbilical catheters, significant reduction in time to reach in the NICU after delivery [ 251 ], incidence of admission glucose greater than 50 mg/dL [ 133 ]. Presently, there are no studies that have sought the role of golden hour in term neonates.…”

“…The prime objective of golden hour is to use evidence based interventions and treatment for better neonatal outcome, importantly for extremely low gestational age neonates (ELGAN) [ 6 ]. In the golden hour, standard approach is followed derived from the best available evidence with aim of practicing gentle but timely and effective interventions with non-invasive procedures if required [ 7 ]. In this review article, we have covered the various components of golden hour approach in preterm and term neonatal care (Fig.…”

The Golden Hour: a quality improvement initiative for extremely premature infants in the neonatal intensive care unit

“…Following birth, EP-ELBW infants are susceptible to rapid development of hypothermia, hypoglycemia, hypotension, and respiratory failure [1,[6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. Resuscitation in the delivery room (DR) and stabilization during admission to the neonatal intensive care unit (NICU) involves a series of interdependent tasks and procedures.…”

“…Resuscitation in the delivery room (DR) and stabilization during admission to the neonatal intensive care unit (NICU) involves a series of interdependent tasks and procedures. These interventions must be performed quickly, proficiently, and systematically to minimize the short-term sequelae of prematurity, which contribute to the risk of long-term morbidity and mortality [1,[6][7][8][9][10][11][12][13][14][15][16][17][18].…”

“…The hour immediately following the birth of an EP-ELBW infant is referred to as the "Golden Hour" (GH) [6][7][8][10][11][12][13][14][15][16][17][18]. This term denotes the period of time in which medical care to prevent irreversible damage is most effective and represents the inverse relationship between elapsing minutes and likelihood of survival.…”