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La recherche en bref !

Le projet

Strategies To Improve Transition To Extra-Uterine Life

Superviseurs du projet

A Vuckovic, MD, PhD (Head of Clinic, Neonatal Intensive Care Unit, Queen Fabiola Children’s University Hospital)

Laboratoire ou Hôpital la majeure partie du projet se déroule

Queen Fabiola Children’s University Hospital (Neonatal Intensive Care Unit) and Brugmann University Hospital (Department of Gynecology and Obstetrics).

Objectif du projet

The purpose of this work is to improve the transition to extrauterine life in infants born at various gestational ages and using different strategies. To achieve this goal, we will
- firstly implement well known evidence-based strategies (e.g., neonatal resuscitation guidelines, golden hour protocol, thermal protection, and delayed cord clamping).
- Secondly, we will use new strategies, such as PBCC and respiratory function monitor, and evaluate their effect on the quality of neonatal transition and later outcomes.

We hypothesize that combining well-known and innovative strategies would improve neonatal transition in infants and decrease short and long-term comorbidities.

Résumé

A la naissance, le bébé doit assurer seul les diverses fonctions vitales. Cela s’appelle l’adaptation à la vie extra-utérine. Cette adaptation se déroule, pour la plupart des bébés, avec succès. Cependant, 10 % de bébés auront besoin d’une aide pour l’adaptation à la vie extra-utérine et moins de 1% nécessiteront une réanimation. Dans ces cas, il existe des stratégies permettant de fournir l’aide nécessaire lors d’une naissance difficile. Certaines de ces stratégies sont bien connues et d’autres sont innovantes. L’objectif de ce travail est de faire l’analyse des approches connues, de mieux comprendre les nouvelles techniques d’aide à l’adaptation à la naissance et de mettre en place un programme de formation continue afin de mettre en application de façon optimale toutes ces stratégies.

At birth, babies must ensure the various vital func1ons alone. This is called transition to extra-uterine life. For most babies, adaptation is successful. However, 10% of babies will need help to adapt and less than 1% will need resuscitation. Strategies exist to help babies when birth is difficult. Some of these strategies are well known and others are innovative. The objective of this work is to analyse the known approaches, to better understand the new techniques of assistance to adaptation at birth, as well as to set up a program of continuous training to implement optimally these strategies all together.