title: Analyzing support of postnatal transition in term infants after c-section.
abstract: BACKGROUND
  Whereas good data are available on the resuscitation of infants, little is known regarding support of postnatal transition in low-risk term infants after c-section. The present study was performed to describe current delivery room (DR) management of term infants born by c-section in our institution by analyzing videos that were recorded within a quality assurance program.
  
  
  METHODS
  DR- management is routinely recorded within a quality assurance program. Cross-sectional study of videos of term infants born by c-section. Videos were analyzed with respect to time point, duration and number of all medical interventions. Study period was between January and December 2012.
  
  
  RESULTS
  186 videos were analyzed. The majority of infants (73%) were without support of postnatal transition. In infants with support of transition, majority of infants received respiratory support, starting in median after 3.4 minutes (range 0.4-14.2) and lasting for 8.8 (1.5-28.5) minutes. Only 33% of infants with support had to be admitted to the NICU, the remaining infants were returned to the mother after a median of 13.5 (8-42) minutes. A great inter- and intra-individual variation with respect to the sequence of interventions was found.
  
  
  CONCLUSIONS
  The study provides data for an internal quality improvement program and supports the benefit of using routine video recording of DR-management. Furthermore, data can be used for benchmarking with current practice in other centers.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Konstantelos
authors.forename: Sascha
authors.initials: S
authors.lastname: Ifflaender
authors.forename: Jürgen
authors.initials: J
authors.lastname: Dinger
authors.forename: Wolfram
authors.initials: W
authors.lastname: Burkhardt
authors.affiliation: Department of Neonatology and Pediatric Intensive Care, Medizinische Fakultät Carl Gustav Carus, TU Dresden, Fetscherstraße 74, Dresden 01307, Germany. Mario.ruediger@uniklinikum-dresden.de.
authors.forename: Mario
authors.initials: M
authors.lastname: Rüdiger
mesh_terms: D001831:Body Temperature; D002406:Catheterization, Peripheral; D002585:Cesarean Section; D003696:Delivery Rooms; D006326:Heart Auscultation; D006801:Humans; D007231:Infant, Newborn; D010092:Oximetry; D011181:Postnatal Care; D017064:Process Assessment, Health Care; D058996:Quality Improvement; D012121:Respiration, Artificial; D013396:Suction; D047929:Term Birth; D013997:Time Factors; D014741:Video Recording