Neonatal outcomes based on mode and intensity of delivery room resuscitation.

OBJECTIVE

To examine outcomes of neonates based on the mode and intensity of resuscitation received in the delivery room (DR).

STUDY

DESIGN

A retrospective study of 439 infants with birth weight ⩽1500 g receiving DR resuscitation at two hospital centers in Philadelphia, Pennsylvania.

RESULTS

Of 439 infants, 22 (5%) received routine care, 188 (43%) received noninvasive positive pressure ventilation (PPV) and 229 (52%) received endotracheal tube (ETT) intubation in the DR. Adjusted odds for respiratory distress syndrome was associated with lower rates in infants requiring lower intensity of DR resuscitation (P<0.001). Noninvasive PPV vs ETT was associated with decreased odds of developing intraventricular hemorrhage and retinopathy of prematurity (P<0.05). Routine vs noninvasive PPV or ETT had decreased odds of developing bronchopulmonary dysplasia (P<0.05).

CONCLUSION

Decreased intensity of DR resuscitation was associated with a decreased risk of specific morbidities.