TY - JOUR
T1 - Perinatal management
T2 - What has been learned through the network?
AU - Chawla, Sanjay
AU - Foglia, Elizabeth E.
AU - Kapadia, Vishal
AU - Wyckoff, Myra H.
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2016/10/1
Y1 - 2016/10/1
N2 - 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.
AB - 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.
KW - antenatal steroids
KW - delivery room
KW - neonatal resuscitation
KW - perinatal
UR - http://www.scopus.com/inward/record.url?scp=84992323049&partnerID=8YFLogxK
U2 - 10.1053/j.semperi.2016.05.006
DO - 10.1053/j.semperi.2016.05.006
M3 - Article
C2 - 27492967
AN - SCOPUS:84992323049
SN - 0146-0005
VL - 40
SP - 391
EP - 397
JO - Seminars in Perinatology
JF - Seminars in Perinatology
IS - 6
ER -