TY - JOUR
T1 - Call to action
T2 - prioritizing delivery room care for neonates with critical congenital heart disease
AU - Thomas, Alyssa R.
AU - Levy, Philip T.
AU - Donofrio, Mary T.
AU - Law, Brenda
AU - Joynt, Chloe
AU - Gupta, Ruby
AU - Elshenawy, Summer
AU - Reed, Danielle
AU - Pavlek, Leeann R.
AU - Shepherd, Jennifer
AU - Gowda, Sharada H.
AU - Johnson, Beth Ann
AU - Abdulhayoglu, Elisa
AU - Valencia, Eleonore
AU - Guseh, Stephanie
AU - Ball, Molly K.
AU - Ali, Noorjahan
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to Springer Nature America, Inc. 2023.
PY - 2024/3
Y1 - 2024/3
N2 - Managing high-risk newborns with critical congenital heart disease (CCHD) in the delivery room is a unique challenge, characterized by complex physiology, heightened urgency, the coordinated efforts of multiple medical teams, and depending on the facility, the infrequent occurrence of such cases. Currently, there is a lack of unified guidance for resuscitation of these newborns in the delivery room. In this commentary, we advocate for an integrated approach involving maternal-fetal medicine specialists, fetal cardiologists, neonatologists, and cardiac intensivists. The proposed approach emphasizes collaborative pre-delivery planning, focusing on anticipated risk factors, postnatal physiology, and clinical management plans. We stress the importance of simulation-based education specifically addressing CCHD scenarios and advocate for research collaborations to establish evidence-based guidelines and track outcomes. Ultimately, a comprehensive, collaborative, and standardized approach, involving prenatal coordination, communication, and education, is essential for optimizing the delivery room management of neonates with CCHD.
AB - Managing high-risk newborns with critical congenital heart disease (CCHD) in the delivery room is a unique challenge, characterized by complex physiology, heightened urgency, the coordinated efforts of multiple medical teams, and depending on the facility, the infrequent occurrence of such cases. Currently, there is a lack of unified guidance for resuscitation of these newborns in the delivery room. In this commentary, we advocate for an integrated approach involving maternal-fetal medicine specialists, fetal cardiologists, neonatologists, and cardiac intensivists. The proposed approach emphasizes collaborative pre-delivery planning, focusing on anticipated risk factors, postnatal physiology, and clinical management plans. We stress the importance of simulation-based education specifically addressing CCHD scenarios and advocate for research collaborations to establish evidence-based guidelines and track outcomes. Ultimately, a comprehensive, collaborative, and standardized approach, involving prenatal coordination, communication, and education, is essential for optimizing the delivery room management of neonates with CCHD.
UR - http://www.scopus.com/inward/record.url?scp=85176808613&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85176808613&partnerID=8YFLogxK
U2 - 10.1038/s41372-023-01828-9
DO - 10.1038/s41372-023-01828-9
M3 - Comment/debate
C2 - 37980393
AN - SCOPUS:85176808613
SN - 0743-8346
VL - 44
SP - 321
EP - 324
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 3
ER -