title: In a tertiary maternity hospital, when should a paediatrician be present in the delivery room?
abstract: OBJECTIVE
  10% of newborns require positive pressure ventilation (PPV) at birth. There are few data on prenatal or early postnatal factors that are predictive of the need for a paediatrician in the delivery room. The study analysed prenatal obstetric and early postnatal factors associated with the requirement for paediatrician assistance in this setting.
  
  
  METHODS
  Over a three-month period, all consecutive births in a tertiary hospital's maternity unit were prospectively evaluated with regard to the need for paediatrician assistance (requested either before or after the delivery), the requirement for resuscitation, and transfer to a neonatal intensive care unit (NICU).
  
  
  RESULTS
  For a total of 584 consecutive births, paediatrician assistance was requested before delivery in 170 cases (30.5%) and after in 78 cases (13.3%). 78% of the newborns requiring PPV, 95.8% of those requiring endotracheal intubation and 86.3% of those requiring transfer to the NICU matched recently published prenatal criteria for paediatrician assistance. Along with a low Apgar score and a cord blood pH <7.20, these criteria covered 95% of the prenatal and early postnatal requests for paediatrician assistance.
  
  
  CONCLUSIONS
  These criteria for neonatal resuscitation in the delivery room would enable medical staff to anticipate the need for paediatrician assistance.
authors: a Médecine Néonatale et Réanimation Pédiatrique, Pôle Femme-Couple-Enfant, Centre Hospitalier Universitaire d'Amiens , Amiens , France.|b PériTox Périnatalité & Risques Toxiques (UMI-01), Faculté de Médecine, Université de Picardie Jules Verne , Amiens , France.
authors: Pierre
authors: P
authors: Tourneux
authors: c Ecole de Sage-Femme Michel Vitse , Amiens , France , and.
authors: Loriane
authors: L
authors: Pascard
authors: c Ecole de Sage-Femme Michel Vitse , Amiens , France , and.
authors: Pascale
authors: P
authors: Daune
authors: c Ecole de Sage-Femme Michel Vitse , Amiens , France , and.|d Gynécologie-Obstétrique, Pôle Femme-Couple-Enfant, Centre Hospitalier Universitaire d'Amiens , Amiens , France.
authors: Jean
authors: J
authors: Gondry
authors: a Médecine Néonatale et Réanimation Pédiatrique, Pôle Femme-Couple-Enfant, Centre Hospitalier Universitaire d'Amiens , Amiens , France.|b PériTox Périnatalité & Risques Toxiques (UMI-01), Faculté de Médecine, Université de Picardie Jules Verne , Amiens , France.
authors: Cécile
authors: C
authors: Fontaine
mesh_terms: D005260:Female; D006771:Hospitals, Maternity / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D007231:Infant, Newborn; D000072143:Pediatricians / Q000706:statistics & numerical data*; D010372:Pediatrics; D011247:Pregnancy; D011446:Prospective Studies; D012151:Resuscitation; D062606:Tertiary Care Centers / Q000592:standards* / Q000706:statistics & numerical data
keywords: Resuscitation; delivery room; infant; midwife; newborn; paediatrician