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Neonatalresuscitation 150914172638 Lva1 App6891 PDF
Neonatalresuscitation 150914172638 Lva1 App6891 PDF
SHADAB KAMAL
What is neonatal resuscitation ?
Pulmonary resuscitation
Vascular Resuscitation
Termination of resuscitation
Neonatal Resuscitation?
• Two techniques:
▫ compression with 2 thumbs with fingers
encircling the chest & supporting the back
▫ compression with 2 fingers with a second
hand supporting the back.
• The 2 thumb–encircling hands
technique may generate higher
peak systolic and coronary
perfusion pressure than the 2-
finger technique, So
recommended in newborns
• Compressions and ventilations should be
coordinated to avoid simultaneous delivery.
Thanks……..
Risk factors for neonatal resuscitation
Maternal Fetal Intrapartum
•Multiple gestation •Non reassuring FHR
• PROM (> 18 hours)
•gestation (< 35 wks; >41 patterns on CTG
• Bleeding in 2nd or 3rd
wks) •Abnormal presentation
trimester
•Large for dates •Prolapsed cord
• PIH •IUGR •Prolonged labour
• Substance abuse •Alloimmune haemolytic •APH(e.g. abruption,
• Drug disease placenta praevia, vasa
• Diabetes mellitus •Polyhydramnios and praevia)
• Chronic illness oligohydramnios •Meconium in the amniotic
• Maternal pyrexia •Reduced fetal movement fluid
before onset of labour •Narcotic administration to
• Maternal infection
•Congenital abnormalities mother within 4 hours of
• Chorioamnionitis which may effect breathing, birth
• Heavy sedation cardiovascular function or •Forceps birth
• Previous fetal or other aspects of perinatal •Vacuum-assisted
neonatal death transition (ventouse) birth
•Intrauterine infection •Maternal GA
•Hydrops fetalis