The primary aim of this research project is to determine if term neonates (37:0 to 41:6 weeks' gestational age) with mild respiratory distress can safely transition without continuous positive airway pressure (CPAP). The secondary aim is to determine the incidence of pneumothorax (PTX) for all term neonates assessed to have mild respiratory distress in the delivery room (DR).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
22
Allowing transition without CPAP administration was assessed at 25 minutes of life
CPAP administration as per standard of care
Hackensack Univeristy Medical Center
Hackensack, New Jersey, United States
Need for CPAP use at 25 minutes of life
Babies with mild respiratory distress will be observed for 20 minutes (randomized at 5 minutes of life) using a pulse oximeter (per institutional post-resuscitation care guidelines) and under the study team's direct observation. The active cohort will not receive CPAP unless respiratory distress worsens.
Time frame: At 25 minutes post birth (after 20 minutes of observation)
Prevalence of pneumothorax in neonates
Number of babies with pneumothorax in neonates as assessed by a chest ultrasound.
Time frame: Within 6 hours of life
NICU (Neonatal Intensive Care Unit) admission during hospital stay
Number of babies admitted to the NICU for respiratory distress during the initial hospital stay (on average, 1-4 days).
Time frame: Hospital day (from birth to discharge)
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