Skip to Main Content

++

The vast majority of newborn infants have a successful transition from intrauterine to extrauterine life without need of assistance; however, approximately 10% require some degree of resuscitative support in the delivery room.1 The presence of certain antepartum, intrapartum, or postpartum risk factors predicts many but certainly not all infants who require help in the delivery room (Table 42-1). Premature, when compared to term infants, are at particular risk for having difficulty with transition following birth. The most common contributing factor for infants in need of resuscitation is asphyxia. Asphyxia is a lack of gas exchange; it results in concomitant hypoxia and hypercapnia and causes a mixed metabolic and respiratory acidosis. The asphyxia can result from either failure of placental gas exchange before birth or deficient pulmonary gas exchange once the newborn is delivered.

++
Table Graphic Jump Location
Table 42-1. Antepartum, Intrapartum, and Postpartum Factors Associated with Need for Newborn Resuscitation 
++

Prompt, effective reversal of asphyxia (with a major focus on effective ventilation) can potentially prevent and certainly minimize multiorgan failure, death, and disability. Nearly 1 million newborns worldwide die from birth asphyxia.1 As a result, development of competence in effective newborn resuscitation has the potential to make a profound global impact on the health of children.

++

Anticipation and planning for both expected and unexpected neonatal emergencies is essential for success. If a fetus is at high risk for needing resuscitation in the delivery room, antepartum triage to a center with expertise in high-risk stabilization should be attempted if it is safe to do so. Regardless, every birth should have at least 1 person immediately available to focus solely on the newborn to assess the need for and, when required, ...

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessPediatrics Full Site: One-Year Subscription

Connect to the full suite of AccessPediatrics content and resources including 20+ textbooks such as Rudolph’s Pediatrics and The Pediatric Practice series, high-quality procedural videos, images, and animations, interactive board review, an integrated pediatric drug database, and more.

$595 USD
Buy Now

Pay Per View: Timed Access to all of AccessPediatrics

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.