Disease relevance of Delivery Rooms

• During prospective studies of infants born vaginally to women with cervical Chlamydia trachomatis infection, we evaluated 27 infants given 0.5% erythromycin ointment and 93 given 1% silver nitrate solution as eye prophylaxis, according to the preference of the parents or delivery room personnel [1].
• The mean thresholds for antenatal steroid administration, cesarean delivery for fetal distress and delivery room resuscitation were gestational age between 23 and 24 weeks and weight close to 500 g [2].
• Maintaining warmer delivery rooms helped but was insufficient in preventing hypothermia in most of these vulnerable patients without the adjunctive use of the polyurethane bags [3].
• Three full-term infants manifested CNS irritability after the parenteral administration of large doses of caffeine and benzoate sodium injection in the delivery room for respiratory depression [4].

High impact information on Delivery Rooms

• At the time of admission to the delivery room, plasma 11-deoxycortisol, corticosterone, and cortisol concentrations were higher (P less than 0.02) than at 38 weeks, but plasma progestin and mineralocorticoid concentrations were not [5].
• Transition/adaptation in the delivery room and less RDS: "Don't just do something, stand there!" [6].
• Infants were eligible for study if they received DR-CPR defined as the administration of chest compressions and/or epinephrine in the delivery room as noted on the Vermont Oxford Network Database record [7].
• OBJECTIVE: To determine whether a course of low-dose indomethacin therapy, when initiated within 24 hours of birth, would decrease ductal shunting in premature infants who received prophylactic surfactant in the delivery room [8].
• Concentrations of nitrous oxide and halothane were measured at numerous stations throughout an operating room and a delivery room in the absence of personnel [9].

Biological context of Delivery Rooms

• In a longitudinal study, the changes in plasma concentrations of dehydroepiandrosterone sulfate (DHAS) and total estriol (E3) were followed in 10 normal pregnant women throughout gestation at 8-10, 14-17, 21-24, 28-32, and 38 weeks as well as at the time of admission to the delivery room [10].
• Babies born in delivery rooms of hospitals are exposed to latex through skin and mucous membrane contact with prepowdered latex gloves worn by midwives and doctors, and through the inhalation of latex-bound starch powder in the air of the delivery room [11].

Associations of Delivery Rooms with chemical compounds

• This study shows that delivery room atmosphere is polluted by methoxyflurane (0.5--0.8 ppm) and nitrous oxide (300--540 ppm) and that a local gas exhaust system reduces the concentration by half [12].
• Bloxsom (1901-1991), a pediatrician at the St Joseph Hospital in Houston, introduced his positive pressure oxygen air lock (AL) for the delivery room resuscitation of the asphyxiated newborn [13].
• The medications most commonly used during delivery room resuscitation include epinephrine, sodium bicarbonate, naloxone hydrochloride and volume expanders [14].
• The prevalent biotype (A8b trigonelline-) was isolated in the delivery room, in the operating room, in the Nursery and in the NICU from items, healthy infant excreters and affected infants; the second biotype (A3a) was isolated only in the NICU from staff, two healthy infant excreters and two affected infants [15].

Gene context of Delivery Rooms

• Much attention in the literature has recently been paid to women's issues in epilepsy but most of the literature stops in the delivery room or at the first moment of suckling [16].
• We report a case of an infant with Fraser syndrome that had not been diagnosed in the prenatal period who presented with impossible intubation due to severe long segment laryngeal atresia in the delivery room [17].
• There are a number of issues which need to be adequately evaluated regarding the pathophysiology of MAS, the delivery room management of the meconium-stained infant, and the neonatal intensive care unit management of MAS [18].
• ABC of labour care: care of the newborn in the delivery room [19].
• Emergencies in the delivery room. (Part II) [20].

Analytical, diagnostic and therapeutic context of Delivery Rooms

• RESULTS: For 2 years, 39 (0.12%) of 30,839 infants were administered chest compressions and/or epinephrine as part of cardiopulmonary resuscitation in the delivery room [21].

References