Neonatology pp 217-220 | Cite as

Neonatal Care in the Delivery Room: Initial Management

  • Tara M. Randis


Ancient accounts of neonatal resuscitation strategies may be found in the Old Testament, the Talmud, and early writings of Hippocrates [1]. Mouth-to-mouth resuscitation of newborns was described as early as 1472 in a textbook on childhood diseases written by Bagellardeus [2]. While, some of these early resuscitation practices were truly revolutionary, the vast majority reflected a limited understanding of the dramatic physiologic changes that take place during birth. Techniques including swinging the infant upside down, immersion in cold water, electric shock, shaking, yelling, slapping and even insufflation of tobacco smoke into the rectum were widely practiced as recently as the early 20th century [1, 2, 3]. In 1953, Virginia Apgar wrote the following regarding the resuscitation of newborn infants:

Seldom have there been such imaginative ideas, such enthusiasm, and dislikes, and such unscientific observations and study about one clinical picture. There are outstanding exceptions to these statements, but the poor quality and lack of precise data of the majority of papers concerned with infant resuscitation are interesting. [4]


Positive Pressure Ventilation Delivery Room Minute Apgar Score Maternal Fever Admission Temperature 
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Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  • Tara M. Randis
    • 1
  1. 1.Department of Pediatrics, Division of Neonatology/PerinatologyColumbia UniversityNew YorkUSA

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