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Fifteen-minute consultation: stabilisation of the high-risk newborn infant beside the mother

Abstract

Paediatric and adult resuscitation is often performed with family present. Current guidelines recommend deferred umbilical cord clamping as part of immediate neonatal care, requiring neonatal assessment next to the mother. This paper describes strategies for providing care beside the mother using both standard resuscitation equipment and a trolley designed for this purpose.

  • Umbilical
  • Cord
  • Stabilisation
  • Resuscitaire

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Footnotes

  • Contributors NB wrote the first draft. NB, BY, JF and JD were involved in planning and implementing bedside care in their local centres. NB, BY, JF and JD have contributed to training other centres. LD is lead for the preterm birth programme and chief investigator for the Cord Pilot Trial. All authors contributed to and approved the final version.

  • Competing interests LD is principle investigator for the improving quality of care and outcome at very preterm birth programme funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research funding scheme (RP-PG-0609-10107). CWY and LD contributed to development of the Lifestart trolley. The Cord Pilot Trial was registered (ISRCTN21456601) and the results have been accepted for publication in the Fetal and Neoanatal Edition of Archives of Disease in Childhood.

  • Patient consent Obtained from patients.

  • Ethics approval Nottingham REC 2 (NRES reference 12/EM/0283).

  • Provenance and peer review Commissioned; internally peer reviewed.

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