Bridging Obstetrics and Neonatology: Saving Our Tiniest Patients

Dr. Scott Guthrie joins us to explore the significant advances in neonatal care and the critical partnership between obstetricians and neonatologists to improve outcomes for newborns. Highlights include:

• Successful implemented delayed cord clamping across Tennessee hospitals through collaborative quality improvement project
• Neonatal mortality has decreased 30% between 1999-2022 due to advances in medical care and prenatal management
• Survival rates for 22-week premature infants have improved to 30-40%, with many having normal development
• Modern ventilation strategies now allow extremely premature babies to avoid intubation completely
• Delivery room practices have shifted from routine suctioning to prioritizing effective ventilation
• Therapeutic cooling has revolutionized treatment for hypoxic ischemic encephalopathy when initiated within 6 hours
• Historical treatment of meconium stained fluid has evolved as we better understood its pathophysiology
• Neonatal intensive care advances were catalyzed by Patrick Kennedy's death from hyaline membrane disease in 1963

Join us for our continuing exploration of obstetrical and neonatal advances as we work together to improve outcomes for mothers and babies.

00:00:00 Introduction to Neonatal Care Advances

00:10:13 Neonatal Mortality Trends and Challenges

00:16:27Technological Evolution in NICU Care

00:24:07 Periviable Infants: Improved Survival Rates

00:31:09 Delivery Room Best Practices for Newborns

00:38:44 Modern Meconium Management Approaches

00:47:19 Therapeutic Hypothermia for HIE

00:55:42 Causes and Detection of Hypoxic Ischemic Encephalopathy

01:03:01 History of Neonatal Care Evolution

01:12:25 Concluding Thoughts on Collaborative Care

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