History of Neonatal Resuscitation – Part 1: Artificial Ventilation

Obladen, Michael

doi:10.1159/000143393

Cited by 21 publications

(7 citation statements)

References 20 publications

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“…Although there are studies in premature infants showing that crying is an unnecessary process leading to an increased heart rate, blood pressure and desaturations [11,12], little is known about whether increased agitation causes harm in term newborns immediately after birth. Despite the long history of using stimulation during infant’s resuscitation and its frequent use in routine DR-management [13], limited scientific data concerning benefit or harm of that intervention warrant further research.…”

Section: Discussionmentioning

confidence: 99%

Positioning of term infants during delivery room routine handling – analysis of videos

et al. 2014

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BackgroundDelivery room management (DR) of the newly born infant should be performed according to international guidelines, but no recommendations are available for an infant’s position immediately after birth. The present study was performed to answer the following questions: 1. How often is DR-management performed in term infants in side position? 2. Is routine DR-management possible in side position? 3. Is there any benefit of side position with respect to agitation or vital parameters?MethodsCross-sectional study of video-recorded DR-management in term newborns delivered by C-section in 2012. Videos were analysed for infant’s position, administered interventions, vital parameters and agitation.Results187 videos were analysed. The Main Position (defined as position spent more than 70% of the time) was “supine” in 91, “side” in 63 and “not determinable” in 33 infants. “Supine” infants received significantly (p < 0.001) more often stimulation (12.5% of the total time) than “side” infants (3.9% of time). There were no differences between both groups with regard to suctioning; CPAP was exclusively (98%) administered in supine position. Newborns on side were less agitated than those on supine. There was a trend towards a better oxygenation in “side” positioned infants (p = 0.055) and significantly (p = 0.04) higher saturation values in “left-sided” infants than “right-sided” infants at 8th minute. “Side” positioned infants reached oxygen saturation values >90% earlier than “supine” positioned infants (p = 0.16).ConclusionsDR-management is feasible in the side position in term infants. Side position seems to be associated with reduced agitation and improved oxygenation. However, it remains unclear whether this represents a causal relationship or an association. The study supports the need for a randomized controlled trial.

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Section: Discussionmentioning

confidence: 99%

Positioning of term infants during delivery room routine handling – analysis of videos

et al. 2014

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“…NIPPV was first used in 1870 by Chaussier, who used a bag with a facemask to resuscitate neonates (7). In 1936, Poulton and Oxon designed the pulmonary plus pressure machine for patients with acute exacerbation of heart failure and pulmonary edema (8).…”

Section: Introductionmentioning

confidence: 99%

Noninvasive Positive-Pressure Ventilation: A Cross Sectional Descriptive Study of Our First Experience in Iran

Fakharian

Masouleh

Karimzadeh

et al. 2017

Iran Red Crescent Med J

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“…The Parisian obstetrician Pierre Budin cared for newborns at the end of the 19th century, and by careful observation he noted the importance of keeping low birth weight babies warm [2] . Throughout the early 20th century, paediatricians took a greater interest in care of the newborn, both in the USA [3,4] and in Europe [5][6][7] . However, infant mortality began to decrease in developed countries early in the 20th century well before recognition of the specialty of neonatology [8] and this was achieved by improvements in sanitation, nutrition and socio-economic status rather than direct medical care.…”

Section: Introductionmentioning

confidence: 99%

Useless Perinatal Therapies

Halliday¹

2010

Neonatology

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With respect to Professor Bengt Robertson whose research studies were very instrumental in the development of one of the most important and evidence-based therapies in perinatal medicine, namely surfactant therapy, I thought it might be appropriate to review some useless or harmful perinatal therapies. Although the term ‘neonatology’ has only been in existence for about 50 years, care of the newborn in the 19th century was largely provided by nurses and obstetricians. As an example, Pierre Budin, a Parisian obstetrician, was very aware of the importance of keeping low birth weight babies warm. More recently however, a number of useless or harmful practices were adopted by those caring for pregnant women and their babies. These included uncontrolled oxygen supplementation, inadequate temperature control, withholding feeds, and various drugs such as thalidomide, chloramphenicol, hexachlorophene, sodium bicarbonate, Epsom salts, benzyl alcohol, thyrotrophin-releasing hormone and corticosteroids. Even in the modern age, inappropriate therapies have been introduced on the basis of short-term beneficial outcomes without longer-term evaluation. Sometimes we are slow to learn the lessons of the past.

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History of Neonatal Resuscitation – Part 1: Artificial Ventilation

Cited by 21 publications

References 20 publications

Positioning of term infants during delivery room routine handling – analysis of videos

Positioning of term infants during delivery room routine handling – analysis of videos

Noninvasive Positive-Pressure Ventilation: A Cross Sectional Descriptive Study of Our First Experience in Iran

Useless Perinatal Therapies

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