[Management of newborn life-threatening distress at birth. Study of the experience at a university maternity ward].
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.
Dubos
J P
JP
Service de Médecine Néonatale, Hôpital Calmette, CHRU, Lille.
Truffert
P
P
Dehouck
M B
MB
Depoortere
M H
MH
Thomas
D
D
Duvaux
C
C
Valat
A S
AS
Lequien
P
P
Puech
F
F
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
Prise en charge des détresses vitales du nouveau-né à la naissance. Etude de l'expérience d'une maternité universitaire.