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PO-0706 Cardiopulmonary Resuscitation At Birth And Outcomes In Extremely Preterm Babies Less Than 26+0 Weeks Gestation
  1. R Kumar,
  2. SV Rasiah,
  3. A Singh
  1. Neonatal Intensive Care Unit, Birmingham Women’s NHS Foundation Trust, Birmingham, UK


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.

Abstract PO-0706 Table 1

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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