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Year : 2014  |  Volume : 3  |  Issue : 3  |  Page : 133-138

Updating the management of preterm infants in the 1st min after birth

Neonatal Research Group, Health Research Institute La Fe; Division of Neonatology, Department of Pediatrics, University and Polytecnic Hospital La Fe, Valencia; Retic Red SAMID (Health Research Institute Carlos III, Ministry of Economy and Competitiveness), Madrid, Spain

Correspondence Address:
Prof. Maximo Vento
Division of Neonatology, Neonatal Research Center, Health Research Institute and University and Polytechnic Hospital La Fe, Child and Developmental Network Red SAMID Instituto Carlos III, Spanish Ministry of Economy and Competitiveness, Avinguda Fernando Abril Martorell 106; Valencia 46026
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Source of Support: The authors received support of the Retic Red SAMID RD12/0026/0012 (Instituto Carlos III; Spanish Ministry of Economy and Competitiveness),, Conflict of Interest: None

DOI: 10.4103/2249-4847.140384

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Prematurity comprises a series of disadvantages that render adaptation to extra-uterine life extremely difficult. Among these, establishing an adult type of cardiorespiratory circulation including closing of the fetal shunts, resorption of the fluid, which fills the lungs and achieving functional residual capacity, to change to oxygen enriched milieu, and keeping an adequate body temperature are altogether challenges that without the aid of heavily skilled caregivers in the delivery room (DR) are practically insurmountable for the very preterm infant. In recent years, there is an unequivocal tendency toward gentle management of preterm babies in the DR to avoid long-term consequences. Caregivers' aim should be to achieve a satisfactory stabilization of the patient without causing harm to his/her feeble organs during the so-called first golden minutes. The last International Liaison Committee on Resuscitation Guidelines were published in 2010. Since then, new information has rendered available. The aim of this review is to provide the reader with updated information regarding newly performed interventions in the DR hoping that it will be useful for their everyday clinical practice.

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