Risk factors for endotracheal intubation during resuscitation in the delivery room among very preterm infants.
- Author:
Jiang-Feng OU
1
;
Yan WU
1
;
Xiao-Yun ZHONG
1
;
Wen CHEN
1
;
Hua GONG
1
Author Information
1. Department of Neonatology, Health Center for Children and Women, Chongqing 401147, China.
- Publication Type:Journal Article
- MeSH:
Delivery Rooms;
Female;
Gestational Age;
Humans;
Infant;
Infant, Newborn;
Infant, Premature;
Intubation, Intratracheal;
Pregnancy;
Retrospective Studies;
Risk Factors
- From:
Chinese Journal of Contemporary Pediatrics
2021;23(4):369-374
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the risk factors for endotracheal intubation during resuscitation in the delivery room among very preterm infants.
METHODS:A retrospective analysis was performed for 455 very preterm infants who were admitted to the neonatal intensive care unit from January 2017 to December 2019. They were divided into an intubation group (
RESULTS:The intubation rate was 17.4% (79/455). Compared with the intubation group, the non-intubation group had significantly higher gestational age, birth weight, and rates of caesarean birth, delayed cord clamping (DCC), resuscitation quality improvement, regular use of antenatal glucocorticoids in mothers and premature rupture of membranes > 18 hours (
CONCLUSIONS:Very preterm infants with younger gestational age, birth weight < 750 g, maternal diabetes mellitus, placenta previa or placenta previa status may have a higher risk for endotracheal intubation after birth. The regular use of antenatal glucocorticoids and DCC can reduce the risk of intubation during resuscitation in very preterm infants.
