Preterm Baby Birth Room Management

Yıl 2017, Cilt: 9 Sayı: 4, 1 - 16, 20.07.2017

Prof. Dr. Ayşegül Zenciroğlu

Öz

Abstract

Premature infants often experience difficulties adapting to postnatal life. Goldenfirst minutes “or “Golden minutes” is defined as the first minutes of the newborn after birth. These minutes includes transition with resuscitation care and transport to neonatal intensive care unit. The concept of “Golden minutes” includes evidence based interventions that are done in the first minutes of postnatal life for the better longterm outcome of the preterm newborn especially extreme premature, very low birth weight (VLBW) and extremely low birth weight (ELBW) infants. The main components of the delivery room management of preterm births, such as delayed cord clamping, non-invasive ventilation, individualized oxygen supplementation, and maintaining an adequate body temperature so as to avoid hyperthermia and/or hypothermia which is included in the first minutes approach will be discussed in this review.

Anahtar Kelimeler

Prematurity, newborn, resus-citation, postnatal transition, delivery room management, deleyed cord clamping, noninvasive ventilation

Preterm Bebekte Doğum Odası Yönetimi

Öz

Öz

Preterm bebekler sıklıkla doğum sonrası yaşama uyum sağlamada güçlük çekerler. Yenidoğan bebeğin doğumdan sonraki ilk dakikaları "Altın dakikalar" olarak tanımlanır. Bu dakikalar, uterus-içi yaşamdan uterusdışı yaşama geçis ve canlandırma ile birlikte, yenidoğan yoğun bakım ünitesine taşınmasını kapsar. "Altın dakikalar" kavramı preterm yenidoğanın daha iyi uzun vadeli sonucu için yaşamın ilk dakikalarında, özellikle aşırı preterm, çok düşük doğum ağırlığı (ÇDDA) ve aşırı düşük doğum ağırlığı (ADDA) olan pretermlere uygulanan kanıta dayalı girişimleri içermektedir. Bu derlemede ağırlıklı olarak hayatın ilk altın dakikalarında preterm bebeklere uygulanan; gecikmiş kord klemplenmesi, non-invazif ventilasyon, uygun vü-cut ısısının sağlanması ve bireyselleştirilmiş oksijen tedavisi gibi doğum odası yönetimi uygulamalarının temel bileşenleri ele alınmıştır.

Anahtar Kelimeler

Preterm, canlandırma, doğumsonrası geçiş, oğum salonu uygulamaları

Kaynakça

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