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Best practice
Fifteen-minute consultation: stabilisation of the high-risk newborn infant beside the mother
  1. Natalie Batey1,
  2. Charles W Yoxall2,
  3. Joe A Fawke3,
  4. Lelia Duley4,
  5. Jon Dorling1,5
  1. 1 Department of Neonatology, Nottingham University Hospitals NHS Trust, Nottingham, UK
  2. 2 Department of Neonatology, Liverpool Women’s Hospital, Liverpool, UK
  3. 3 Department of Neonatology, University Hospitals of Leicester NHS Trust, Leicester, UK
  4. 4 Nottingham Clinical Trials Unit, University of Nottingham, Nottingham, UK
  5. 5 Division of Child Health, Obstetrics & Gynaecology, University of Nottingham, Nottingham, UK
  1. Correspondence to Dr Jon Dorling, Division of Child Health, University of Nottingham, E floor East Block, Queens Medical Centre, Derby Road, Nottingham NG7 2UH, UK; jon.dorling{at}nottingham.ac.uk

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

This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/

https://doi.org/10.1136/archdischild-2016-312276

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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.