title: Delivery room management of extremely low birth weight infants in Italy: comparison between academic and non-academic birth centres.
abstract: OBJECTIVE
  International Guidelines provide a standardised approach to newborn resuscitation in the DR and, in their most recent versions, recommendations dedicated to management of ELBWI were progressively increased. It is expected that introduction in clinical practice and dissemination of the most recent evidence should be more consistent in academic than in non-academic hospitals. The aim of the study was to compare adherence to the International Guidelines and consistency of practice in delivery room management of extremely low birth weight infants between academic and non-academic institutions.
  
  
  METHODS
  A questionnaire was sent to the directors of all Italian level III centres between April and August 2012.
  
  
  RESULTS
  There was a 92% (n = 98/107) response rate. Apart from polyethylene wrapping to optimise thermal control, perinatal management approach was comparable between academic and non-academic centres.
  
  
  CONCLUSIONS
  There were minor differences in management of extremely low birth weight infants between Italian academic and non-academic institutions, apart from thermal management. Although there was a good, overall adherence to the International Guidelines for Neonatal Resuscitation, temperature management was not in accordance with official recommendations and every effort has to be done to improve this aspect.
authors.affiliation: a Department of Children and Women's Health , Medical School University of Padua , Padua , Italy .
authors.forename: Veronica
authors.initials: V
authors.lastname: Mardegan
authors.affiliation: a Department of Children and Women's Health , Medical School University of Padua , Padua , Italy .
authors.forename: Irene
authors.initials: I
authors.lastname: Satariano
authors.affiliation: a Department of Children and Women's Health , Medical School University of Padua , Padua , Italy .
authors.forename: Nicoletta
authors.initials: N
authors.lastname: Doglioni
authors.affiliation: b Italian Army - Signals and Information Technology HQ, C4 Systems Integration Development , Treviso , Italy .
authors.forename: Giulio
authors.initials: G
authors.lastname: Criscoli
authors.affiliation: c Independent Statistician , Padua , Italy .
authors.forename: Francesco
authors.initials: F
authors.lastname: Cavallin
authors.affiliation: d Neonatal Intensive Care Unit, Department of Pediatric and Neonatal, "S. Giovanni Calibita" Fatebenefratelli Hospital - Isola Tiberina , Camilla Gizzi , Italy , Rome .
authors.forename: Camilla
authors.initials: C
authors.lastname: Gizzi
authors.affiliation: e Neonatal Intensive Care Unit, Department of Pediatric, Medical School University of Turin , Torino , Italy .
authors.forename: Claudio
authors.initials: C
authors.lastname: Martano
authors.affiliation: f Neonatal Intensive Care Unit, Department of Mother and Infant Science, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan , Milan , Italy .
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Ciralli
authors.affiliation: g Neonatology Unit, University of Genova, Azienda Ospedaliera San Martino IRCCS - IST National Institute on Cancer Research , Genova , Italy .
authors.forename: Flaminia
authors.initials: F
authors.lastname: Torielli
authors.affiliation: h Neonatal Intensive Care Unit, Department of Maternal and Pediatric, Carlo Poma Hospital , Mantova , Italy .
authors.forename: Paolo Ernesto
authors.initials: PE
authors.lastname: Villani
authors.affiliation: i Neonatal Intensive Care Unit, Department of Mother and Infant Science "San Salvatore" Hospital , L'aquila , Italy .
authors.forename: Sandra
authors.initials: S
authors.lastname: Di Fabio
authors.affiliation: j Neonatology Unit, "a. Perrino" Hospital-ASL , Brindisi , Italy , and.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Quartulli
authors.affiliation: k Department of Pediatric , Medical School University "La Sapienza" Rome Azienda Ospedaliera Policlinico Umberto , Rome , Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Giannini
authors.affiliation: a Department of Children and Women's Health , Medical School University of Padua , Padua , Italy .
authors.forename: Daniele
authors.initials: D
authors.lastname: Trevisanuto
mesh_terms: D000046:Academic Medical Centers; D016550:Birthing Centers / Q000592:standards; D001831:Body Temperature; D003696:Delivery Rooms; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D052577:Infant, Extremely Low Birth Weight; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal / Q000379:methods* / Q000592:standards; D007558:Italy; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D012151:Resuscitation / Q000379:methods / Q000592:standards; D011795:Surveys and Questionnaires
keywords: Academic medical centres; delivery room; guidelines; infant newborn; premature; resuscitation; survey