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Updated: May 8, 2026
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Transcutaneous Microcirculatory Imaging in Preterm Neonates
Published on: December 31, 2015
Marked variation in delivery room management in very preterm infants
1Department of Neonatology, The Rosie Hospital, Cambridge University Hospitals NHS Foundation Trust, United Kingdom; Bradford Neonatology, Bradford Teaching Hospitals NHS Trust, United Kingdom.
Resuscitation
|August 17, 2013
Summary
Delivery room stabilization practices for very preterm infants varied significantly across UK units one year after updated guidelines. Non-tertiary units showed less adherence to international newborn resuscitation recommendations.
Area of Science:
- Neonatal resuscitation
- Perinatal medicine
- Pediatric critical care
Background:
- Updated International Liaison Committee on Resuscitation (ILCOR) and U.K. Resuscitation Council (UKRC) guidance for newborn resuscitation was released in late 2010.
- The study addresses the implementation of these updated guidelines in clinical practice.
Purpose of the Study:
- To assess current delivery room (DR) stabilization practices for very preterm infants (<32 weeks gestation) in the United Kingdom.
- To identify variations in practice between different types of delivery units.
Main Methods:
- A national survey was conducted via email to all UK delivery units regarding their current DR stabilization practices for very preterm infants.
- Telephone follow-up calls were used to gather additional data and ensure completeness of responses.
Main Results:
- A high response rate (99%) was achieved, with 186 units providing complete data.
- Tertiary units demonstrated significantly higher rates of surfactant administration (93% vs. 78%), DR CPAP (77% vs. 50%), PEEP (91% vs. 69%), and resuscitation with air or blended oxygen (91% vs. 78%) compared to non-tertiary units.
- Routine out-of-hours consultant attendance was also more prevalent in tertiary units (82% vs. 55%).
Conclusions:
- Significant variation in delivery room stabilization practices for very preterm infants persisted one year post-guideline revision.
- Delivery room care in non-tertiary units was less aligned with current international newborn resuscitation guidelines.
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