under 32 wkr resus

Initial Resuscitation & Stabilisation of the Preterm Infant (<32 p="" weeks="">Background
Infants born prematurely more frequently need support to achieve stabilisation rather than
resuscitation during fetal to neonatal transition. This guidance reflects the latest evidence and
updates to resuscitation guidance, both nationally and internationally.
Key points:
 Delay cord clamping for 60s in stable preterm infants.
 Careful attention to thermal care to aim to maintain temperature 36.5 - 37.5oC.
 Support spontaneously ventilating infants with CPAP whilst monitoring HR and saturation
(SpO2). There is no gestation at which you should routinely intubate.
 Start with an inspiratory fraction of oxygen (FiO2) of 0.30 and titrate according to oxygen and
HR nomograms.
 Surfactant should be used selectively.