20 May 25
EMS - EM Protocols
Providing New-born Resuscitation at the Mother’’s Bedside: Assessing the Safety, Usability and Acceptability of a Mobile Trolley
Abstract:
Background: Deferring cord clamping at very preterm births may be beneficial for babies. However, deferring cord clamping should not mean that new-born resuscitation is deferred. Providing initial care at birth at the mother's bedside would allow parents to be present during resuscitation, and would potentially allow initial care to be given with the cord intact. The aim of this study was to evaluate the usability of a new mobile trolley for providing new-born resuscitation by describing the range of resuscitation procedures performed on a group of babies.
Methods: The trolley was used when the attendance of a clinician trained in new-born life support was required at a birth. Clinicians were asked to complete a questionnaire about their experience of using the trolley. Serious adverse events were reported.
Results: 78 babies were managed on the trolley. Median (range) gestation was 34 weeks (24 to 41 weeks). Median (range) birth weight was2470 grams (520 to 4080 grams). The full range of resuscitation procedures has been successfully provided, although only one baby required emergency umbilical venous catheterisation.
Conclusions: Immediate stabilisation at birth and resuscitation can be performed successfully and safely at the bedside using this trolley. In most cases this could be achieved with an intact umbilical cord.
Source: BMC Pediatrics 2014, Published: 29 May 2014