Abstract

The rationale for keeping the mother and her newborn together even when neonatal resuscitation is required is presented. The development of a customised mobile resuscitation trolley is detailed explaining how the resuscitation team can be provided with all the facilities of a standard resuscitation trolley to resuscitate the neonate at the mother’s side with an intact cord. Alternative low tech solutions which may be appropriate in low resource setting and with a low risk population are also described.

Highlights

  • No mother wishes to be separated from her newborn baby immediately after birth

  • When resuscitation is considered necessary, the baby is removed from her and cared for on a resuscitation trolley at the side of the room with her baby usually out of her view. The distress this causes a mother is tolerated by her belief that the separation is unavoidable in order to provide essential care of her baby

  • For a number of reasons, many babies are needlessly separated from their mother at birth and require no active resuscitation by the time they reach the resuscitation trolley

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Summary

Introduction

No mother wishes to be separated from her newborn baby immediately after birth. When resuscitation is considered necessary, the baby is removed from her and cared for on a resuscitation trolley at the side of the room with her baby usually out of her view. For a number of reasons, many babies are needlessly separated from their mother at birth and require no active resuscitation by the time they reach the resuscitation trolley. The need for ventilatory assistance is the primary reason for moving the baby away from its mother but the majority of babies moved over to the resuscitation trolley do not require positive pressure ventilation (PPV).

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