RT Book, Section
A1 Foglia, Elizabeth E.
A1 Wyckoff, Myra H.
A2 Kline, Mark W.
SR Print(0)
ID 1182918923
T1 Delivery Room Resuscitation of the Newborn Infant
T2 Rudolph's Pediatrics, 23e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259588594
LK accesspediatrics.mhmedical.com/content.aspx?aid=1182918923
RD 2024/04/19
AB 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.  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  44-1).  Premature  infants,  when  compared  to  term  infants,  are  at  particular  risk  for  a  difficult  transition  following  birth.  The  most  common  contributing  factor  for  infants  in  need  of  resuscitation  is  asphyxia.  Asphyxia  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.