Acceptability of Bedside Resuscitation With Intact Umbilical Cord to Clinicians and Patients' Families in the United States

Frontiers in Pediatrics
Anup C KatheriaDebra Poeltler

Abstract

While delayed umbilical cord clamping in preterm infants has shown to improve long-term neurological outcomes, infants who are thought to need resuscitation do not receive delayed cord clamping even though they may benefit the most. A mobile resuscitation platform allows infants to be resuscitated at the mother's bedside with the cord intact. The newborn is supplied with placental blood during the resuscitation in view of the mother. The objective of the study is to assess the usability and acceptability of mobile resuscitation platform, LifeStart trolley, among the infants' parents and perinatal providers. A resuscitation platform was present during every delivery that required advanced neonatal providers for high-risk deliveries. Perinatal providers and parents of the infants were given a questionnaire shortly after the delivery. 60 neonatal subjects were placed on the trolley. The majority of deliveries were high risk for meconium-stained amniotic fluid (43%), and non-reassuring fetal heart rate (45%). About 50% of neonatal providers felt that there were some concerns regarding access to the baby. No parents were uncomfortable with the bedside neonatal interventions, and most parents perceived that communication was improved...Continue Reading

Associated Clinical Trials

References

Sep 27, 2007·The American Journal of Hospice & Palliative Care·C Dana Critchell, Paul E Marik
Mar 1, 2012·Archives of Disease in Childhood. Fetal and Neonatal Edition·Merryl E Harvey, Helen M Pattison
May 20, 2015·Anesthesia and Analgesia·Hannah C GlassPeter J Davis
May 27, 2015·JAMA Pediatrics·Ola AnderssonLena Hellström-Westas
Oct 30, 2016·The Journal of Pediatrics·Anup KatheriaNeil Finer
Sep 20, 2017·Archives of Disease in Childhood. Fetal and Neonatal Edition·Lelia DuleyUNKNOWN Cord Pilot Trial Collaborative Group

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Citations

Jul 28, 2018·Archives of Disease in Childhood. Fetal and Neonatal Edition·Andrew William Gill
Dec 12, 2019·Frontiers in Pediatrics·Anup C KatheriaSatyan Lakshminrusimha
Dec 2, 2018·Frontiers in Pediatrics·Anup C Katheria
Feb 13, 2021·Resuscitation·Katie N DaintyUNKNOWN Education, Implementation and Teams Task Force
Apr 15, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Anup KatheriaSumesh Thomas
May 6, 2021·Children·Neha S JoshiHenry C Lee
Aug 7, 2021·Clinics in Perinatology·Ola Andersson, Judith S Mercer

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Methods Mentioned

BETA
cesarean section

Software Mentioned

Inspiration
LifeStart

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