Antenatal & Golden Hour Bundle
Antenatal Care, Resuscitation / Stabilization / Golden Hour & Thermoregulation
These three presentations share information foundational to the early care of preterm neonates beginning prior to birth through the delivery room and NICU admission processes. The first few hours of life have significant impact on survival and long-term impact on outcomes and knowledge of maternal complications or therapies are essential in planning care. These three presentations focus on antenatal risks and treatments and the impact of the preterm neonate, the essential tasks in the delivery room to ensure appropriate transition, and admission to the NICU including thermoregulation which is a key component of both early and ongoing management in the preterm neonate. The presentations include management strategies and stress the importance of standardization of processes, communication and teamwork, and parental engagement. Quality improvement considerations are also included.
1. Identify three maternal risk factors for premature birth.
2. Describe three potential implications of maternal risk factors on the premature neonate.
3. Give examples of three equipment or process requirements unique to the resuscitation of the small baby.
4. Explain two characteristics of functional teams that ensure successful resuscitation and golden hour care.
5. Identify two best practice care strategies to facilitate safe, efficient and gentle resuscitation and stabilization.
6. Describe three physiologic mechanisms of thermoregulation in the premature infant.
7. Explain the importance of utilizing dual monitoring measurements to assess and maintain thermal stability.
8. List two practice, equipment, or environmental modifications to consider when utilizing developmental support devices when caring for the premature infant.
Total CE = 4.5
NCC Code NNP 1 CE = 1, 3.5 CE = 3; or 7 CE
NCC Code NIC 1 or 7
NCC Code LRN 1 CE = 1, 3.5 CE = 3; or 7 CE
Rx = 1
*These presentations were included in the Small Baby Care Specialist® Program
Last updated: February 2022
Dr. Lavonne Sheng is a neonatologist at CHOC Children’s Hospital as well as St. Jude Medical Center in Fullerton, CA. She attended medical school at the University of California, Irvine and completed both pediatric residency and neonatal-perinatal medicine fellowship training at Harbor-UCLA Medical Center. She is currently the Associate Medical Director of the NICU and Chair of the Department of Women and Children at St. Jude Medical Center.Dr. Sheng enjoys the multidisciplinary teamwork in the NICU and has led and actively participated in many quality improvement efforts such as antibiotic stewardship and CLABSI prevention.Her areas of interest include infection prevention and antibiotic stewardship in the NICU.
Dr. Michael Dunn is a Senior Neonatologist working in the Women and Babies Program at Sunnybrook Health Sciences Centre and an Associate Professor in the Department of Paediatrics at the University of Toronto. He is an established researcher who has helped spearhead a number of large, randomized trials examining the effect of neonatal therapies. He has a longstanding interest in respiratory management of preterm infants and performed several early clinical trials to evaluate surfactant replacement therapy. Dr. Dunn is lead author on the publication of the Vermont Oxford Network trial assessing three different approaches to the initial respiratory management of preterm infants and has also published review articles on non-invasive high-frequency ventilation and non-invasive NAVA. He is committed to the provision of quality care to NICU patients and their families and believes that we as health care providers need to do everything in our power to give our newest citizens the best possible start in life.
Liz Drake has been practicing in the NICU for over 35 years. She received her Master’s Degree, Neonatal Nurse Practitioner and Clinical Nurse Specialist certification from UCLA. Quality Improvement, Neuro-protective Care and Family Partnered Care are her passions and expertise. She has a strong desire to teach healthcare teams about the uniqueness and language of the premature infant as every touch and experience can have impact. Through team building, education, academic thinking, and direct patient care Liz has a tireless focus on excellence. Her vision for the future is to create passion and desire in others to practice with intention, purpose and to practically integrate evidence into the care provided to infants and families.
StartResuscitation, Stabilization & Golden Hour Part 1 (27:51)
StartResuscitation, Stabilization & Golden Hour Part 2 (13:32)
StartResuscitation, Stabilization & Golden Hour Part 3 (26:43)
StartResuscitation, Stabilization & Golden Hour Part 4 (31:58)
StartResuscitation, Stabilization & Golden Hour Part 5 (12:01)