In:
Acta Paediatrica, Wiley, Vol. 103, No. 6 ( 2014-06), p. 605-611
Abstract:
To evaluate any geographical variations in practice and adherence to international guidelines for early delivery room management of extremely low birthweight ( ELBW ) infants in the N orth, C entre and S outh of I taly. Methods A questionnaire was sent to all 107 directors of I talian level III centres between A pril and A ugust 2012. Results There was a 92% (n = 98) response rate. A polyethylene bag/wrap was used by 54 centres (55.1%), with the highest rate in Northern Italy (77.5%) and the lowest rate in Southern (37.7%) areas. In N orthern regions, one centre (2.5%) said it used oxygen concentrations 〉 40% to initiate positive pressure ventilation in ELBW infants. These proportions were higher in the C entral (14.3%) and S outhern (16.2%) areas. A T ‐piece device for positive pressure ventilation was more frequently available in the N orthern (95%) units than in those in the C entral (66.7%) and Southern (69.4%) regions. A median of 13% ( IQR : 5%–30%) of ELBW infants received chest compressions at birth in Italy: 5%, 18% and 22% in N orthern, C entral and S outhern units, respectively. Conclusion In Italy, delivery room management of ELBW infants showed marked geographical variations. Implementation of national training programmes could increase adherence to the guidelines and reduce such discordance.
Type of Medium:
Online Resource
ISSN:
0803-5253
,
1651-2227
DOI:
10.1111/apa.2014.103.issue-6
Language:
English
Publisher:
Wiley
Publication Date:
2014
detail.hit.zdb_id:
1492629-5
detail.hit.zdb_id:
1501466-6
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