However, in the face of pending shock, brain perfusion will be preserved (sats
still about 20 points lower than pulse ox reading), while renal perfusion will be reduced
(renal sats will now drop to lower than brain sats).RESUSCITATION IN THE DELIVERY ROOM (DR) – A BRIEF OVERVIEW
Management of the infant in the delivery room is directed at thermoregulation,
oxygenation, and ventilation.
The neonate's temperature falls precipitously immediately after birth. Cold stress
increases free fatty acids, which promote insulin secretion and can cause a reactive
hypoglycemia.
To counter these heat losses:
Pre-heat the radiant warmer
Have the transport Isolette pre-warmed
Have warm towels available
Gently dry the infant and remove wet linens quickly
Put a hat on the infant → greatest area of heat loss is through scalp
Very immature infant: Saran™ Wrap may be used to cover head (but not face)
and limbs
About 90% of babies are born vigorous. The provider has 30 minutes to determine
steps for the resuscitation of the baby.