title: [Management of newborn life-threatening distress at birth. Study of the experience at a university maternity ward].
abstract: Care given to 1,425 consecutive new-born infants in a University Maternity Ward was screened for high-risk pregnancies. The characteristics of the new-borns retained for study resulted from this choice. Life-threatening distress, defined as the need for respiratory assistance beyond the third minute of life, was observed in 6% of cases. Distress had been predicted 30 minutes before birth in only 42% of cases. In 56.5%, the signs of distress occurred outside "normal" working hours and immediate care was given by the mid-wife in 36% of cases. Despite progress in fetal medicine, these findings would suggest that life-threatening distress at birth is often unpredicted and occurs at a non-negligible rate. This would emphasize the need of training the entire obstetrical team, especially the mid-wives in care the for new-borns.
authors.affiliation: Service de Médecine Néonatale, Hôpital Calmette, CHRU, Lille.
authors.forename: J P
authors.initials: JP
authors.lastname: Dubos
authors.forename: P
authors.initials: P
authors.lastname: Truffert
authors.forename: M B
authors.initials: MB
authors.lastname: Dehouck
authors.forename: M H
authors.initials: MH
authors.lastname: Depoortere
authors.forename: D
authors.initials: D
authors.lastname: Thomas
authors.forename: C
authors.initials: C
authors.lastname: Duvaux
authors.forename: A S
authors.initials: AS
authors.lastname: Valat
authors.forename: P
authors.initials: P
authors.lastname: Lequien
authors.forename: F
authors.initials: F
authors.lastname: Puech
mesh_terms: D000208:Acute Disease; D004630:Emergencies; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000453:epidemiology / Q000628:therapy*; D015997:Neonatal Screening / Q000379:methods*; D009359:Neonatology / Q000193:education / Q000379:methods*; D010564:Personnel, Hospital / Q000193:education; D010818:Practice Patterns, Physicians'; D011237:Predictive Value of Tests; D012307:Risk Factors; D013997:Time Factors
vernacular_title: Prise en charge des détresses vitales du nouveau-né à la naissance. Etude de l'expérience d'une maternité universitaire.