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KMID : 0361720100210020155
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Korean Journal of perinatology
2010 Volume.21 No. 2 p.155 ~ p.164
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Neonatal Resuscitation at Delivery Room in “gray zone” Extremely Low Birth-Weight Infants (gestational age ≤24 weeks)
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Choi Seo-Heui
Seo Hyun-Joo
Yoo Hye-Soo
Ahn So-Yoon
Chang Yun-Sil
Park Won-Soon
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Abstract
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Objective: This study investigated the effects of modified neonatal resuscitation program (M-NRP) which intends to keep minimal handling, to stabilize initial vital signs in extremely low birth weight infants (ELBWI) in Samsung Medical Center, NICU.
Methods: Medical records of 128 ELBWI with gestational age (GA) ≤24 weeks who had been admitted to the NICU of SMC from January 2000 to December 2008 were reviewed retrospectively. The data of these patients with M-NRP (n=62) were compared with those with classic NRP (C-NRP) (n=66).
Results: These patients who received M-NRP had significantly higher in survived discharge rate (66% vs 47%, P=0.034), lower in mask ventilation (29% vs 97%, P<0.001), shorter incubator-in time (81±25min vs 138±50min, P<0.001), and higher 1’/5’ APGAR score (1’: 3.9±1.5 vs 2.6±1.3, P<0.001, 5’: 6.6±1.7 vs 5.4±1.8, P<0.001) than those who received C-NRP.
Conclusion: Improvement in survived discharge rate and 1’/5’ APGAR score were noted in M-NRP group compared to C-NRP group in the management of GA ≤24 weeks ELBWI.
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KEYWORD
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Neonatal resuscitation program, Delivery room management
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