title: Perinatal management: What has been learned through the network?
abstract: The Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network (NRN) has examined the effects of various obstetrical perinatal interventions and neonatal delivery room practices on the newborn with particular focus on those born preterm. Studies exploring the effects and safety of various antepartum maternal medications and the effects of the route and timing of delivery are examined. The NRN has contributed key studies to the evidence base for the International Liaison Committee on Resuscitation neonatal resuscitation guidelines. These studies are reviewed including research on timing of cord clamping, the importance of maintaining euthermia immediately after birth, delivery room ventilation strategies, outcomes following delivery room cardiopulmonary resuscitation, and the effects of prolonged resuscitation efforts. In addition, the NRN's detailed outcome data at the lowest gestational ages have greatly influenced on how providers counsel families regarding the appropriateness of resuscitation efforts at the lowest gestational ages.
authors: Division of Neonatal-Perinatal Medicine, Department of Pediatrics, Wayne State University, Detroit, MI.
authors: Sanjay
authors: S
authors: Chawla
authors: Division of Neonatology, Department of Pediatrics, Perelman School of Medicine, The University of Pennsylvania, Philadelphia, PA.
authors: Elizabeth E
authors: EE
authors: Foglia
authors: Division of Neonatal-Perinatal Medicine, Department of Pediatrics, The University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9063.
authors: Vishal
authors: V
authors: Kapadia
authors: Division of Neonatal-Perinatal Medicine, Department of Pediatrics, The University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9063. Electronic address: myra.wyckoff@utsouthwestern.edu.
authors: Myra H
authors: MH
authors: Wyckoff
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000379:methods; D003696:Delivery Rooms; D036861:Delivery, Obstetric; D037001:Directive Counseling; D004635:Emergency Medicine; D019317:Evidence-Based Medicine; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000401:mortality / Q000628:therapy*; D007234:Infant, Premature; D007258:Informed Consent / Q000706:statistics & numerical data; D010290:Parents / Q000193:education / Q000523:psychology; D018743:Perinatal Care / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D012127:Respiratory Distress Syndrome, Newborn / Q000401:mortality
keywords: antenatal steroids; delivery room; neonatal resuscitation; perinatal