Background Cardiopulmonary resuscitation (CPR) at delivery is associated with poor outcome. The British Association of Perinatal Medicine (BAPM) guidelines do not advocate active CPR± drugs in babies at extremes of viability.
Aim To review the outcome of babies who received CPR± drugs at delivery and their subsequent outcomes.
Methods The Badger electronic records were interrogated for babies born less than 26+0 weeks gestation, if they received CPR± drugs and their subsequent outcomes.
Results 13 of the 122 babies born < 26+0 weeks gestation had CPR± drugs at delivery. Their outcomes are shown in the table below.
Conclusion CPR± drugs was more likely in outborn babies. Grade 3 or 4 intraventricular haemorrhage (IVH) and mortality were significantly increased in these babies. This emphasises the importance of in-utero transfers of these babies to a tertiary neonatal intensive care unit.
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