Resuscitation

Question 1

What is the gestational age cutoff for delayed cord clamping of 60 seconds?

Answer 1

<28 weeks (per RMT protocol)

Question 2

Name 7 conditions under which delayed cord clamping should not be done (per RMT guidelines).

Answer 2

1. Placental abruption/severe vaginal bleeding/vasaprevia/uterine rupture
2. Tight true knot in umbilical cord/tight nuchal cord
3. Suspected twin-twin transfusion syndrome (mono-mono, mono-di)
4. Maternal resuscitation at delivery/perimortem circumstances
5. Neonate a non-resuscitation candidate
6. Clinical preference- if OB and Neonatology may discuss
7. Other conditions with blood volume overload (e.g. hydrops, heart failure)

Question 3

How much NS do you use to flush IV epi? How frequently is IV epi given during a code?

Answer 3

3 ml NS flush

Every 3-5 minutes if HR <60