Abstract
<h3>Background</h3> Cardiopulmonary resuscitation (CPR) at delivery is associated with poor outcome. The British Association of Perinatal Medicine (BAPM) guidelines do not advocate active CPR± drugs in babies at extremes of viability. <h3>Aim</h3> To review the outcome of babies who received CPR± drugs at delivery and their subsequent outcomes. <h3>Methods</h3> The Badger electronic records were interrogated for babies born less than 26<sup>+0</sup> weeks gestation, if they received CPR± drugs and their subsequent outcomes. <h3>Results</h3> 13 of the 122 babies born < 26<sup>+0</sup> weeks gestation had CPR± drugs at delivery. Their outcomes are shown in the table below. <h3>Conclusion</h3> CPR± drugs was more likely in outborn babies. Grade 3 or 4 intraventricular haemorrhage (IVH) and mortality were significantly increased in these babies. This emphasises the importance of <i>in-utero</i> transfers of these babies to a tertiary neonatal intensive care unit.
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