Neonatal Resuscitation at Delivery Room in "gray zone" Extremely Low Birth-Weight Infants (gestational age < or =24 weeks) / 대한주산의학회잡지

ABSTRACT

OBJECTIVE: This study investigated the effects of modified neonatal resuscitation program (M-NRP) which intends to keep minimal handling, to stabilize initial vital signs in extremely low birth weight infants (ELBWI) in Samsung Medical Center, NICU. METHODS: Medical records of 128 ELBWI with gestational age (GA) < or =24 weeks who had been admitted to the NICU of SMC from January 2000 to December 2008 were reviewed retrospectively. The data of these patients with M-NRP (n=62) were compared with those with classic NRP (C-NRP) (n=66). RESULTS: These patients who received M-NRP had significantly higher in survived discharge rate (66% vs 47%, P=0.034), lower in mask ventilation (29% vs 97%, P<0.001), shorter incubator-in time (81+/-25min vs 138+/-50min, P<0.001), and higher 1'/5' APGAR score (1' 3.9+/-1.5 vs 2.6+/-1.3, P<0.001, 5' 6.6+/-1.7 vs 5.4+/-1.8, P<0.001) than those who received C-NRP. CONCLUSION: Improvement in survived discharge rate and 1'/5' APGAR score were noted in M-NRP group compared to C-NRP group in the management of GA < or =24 weeks ELBWI