RT Book, Section
A1 Shultz, Kelley
A2 Zaoutis, Lisa B.
A2 Chiang, Vincent W.
SR Print(0)
ID 1146120741
T1 Delivery Room Medicine
T2 Comprehensive Pediatric Hospital Medicine, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071829281
LK accesspediatrics.mhmedical.com/content.aspx?aid=1146120741
RD 2024/04/18
AB In  order  for  a  normal  transition  from  fetal  to  newborn  physiology  to  occur,  a  complicated  and  well-orchestrated  sequence  of  physiologic  changes  must  transpire.  While  the  majority  of  newborns  transition  from  fetal  to  postnatal  circulation  without  significant  difficulty,  it  is  estimated  that  10%  require  some  degree  of  resuscitation  in  the  delivery  room  and  about  1%  require  significant  resuscitation.1  Birth  asphyxia  accounts  for  approximately  23%  of  the  4  million  neonatal  deaths  per  year.1  Delays  in  establishing  effective  cardiorespiratory  function  may  increase  the  risk  for  hypoxic-ischemic  cerebral  injury,  pulmonary  hypertension,  and  systemic  organ  dysfunction.  Some  of  these  injuries  may  be  preventable  with  prompt  resuscitation.  However,  some  of  these  outcomes  are  related  to  events  or  exposures  that  precede  the  birth  process,  such  as  prenatal  injuries,  abnormal  development,  and  insults  to  the  intrauterine  environment.