Perinatal management: What has been learned through the network?

Sanjay Chawla, Elizabeth E. Foglia, Vishal Kapadia, Myra H. Wyckoff

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

The Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network (NRN) has examined the effects of various obstetrical perinatal interventions and neonatal delivery room practices on the newborn with particular focus on those born preterm. Studies exploring the effects and safety of various antepartum maternal medications and the effects of the route and timing of delivery are examined. The NRN has contributed key studies to the evidence base for the International Liaison Committee on Resuscitation neonatal resuscitation guidelines. These studies are reviewed including research on timing of cord clamping, the importance of maintaining euthermia immediately after birth, delivery room ventilation strategies, outcomes following delivery room cardiopulmonary resuscitation, and the effects of prolonged resuscitation efforts. In addition, the NRN's detailed outcome data at the lowest gestational ages have greatly influenced on how providers counsel families regarding the appropriateness of resuscitation efforts at the lowest gestational ages.

Original languageEnglish (US)
Pages (from-to)391-397
Number of pages7
JournalSeminars in Perinatology
Volume40
Issue number6
DOIs
StatePublished - Oct 1 2016

Keywords

  • antenatal steroids
  • delivery room
  • neonatal resuscitation
  • perinatal

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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