Today we will talk about what to expect before attending your first delivery as part of the pediatrics team while on the Newborn rotation. Each delivery is different and what is needed for each infant at the delivery can be different depending on the status of the infant at birth. In this episode, we will focus on the lower risk deliveries that you are most likely to attend during your newborn rotation, and what you can expect once the baby is born.

Newborn deliveries: Low Risk 

• Low-risk delivery team members 
• What constitutes a low-risk delivery page 

Differences in Operating Room (OR) versus labor room deliveries 

• Differences in attending delivery in the delivery room versus the operating room 
• Operating room attire 
• Importance of Apgar (timer button) on radiant warmer 

Delayed Cord clamping 

• Delayed cord clamping: When this happens and the importance 
• Why it matters if umbilical cord is clamped before 1 minute and infant brought to the radiant warmer 

Neonatal Resuscitation 

• NRP guidelines from American Academy of Pediatrics 

Pertinent Physical Exam at delivery 

• Importance of full, efficient exam in delivery room 

Need for Higher Level Intervention: Neonatal Intensive Care 

• Reasons for calling for NICU: high-risk delivery team 

Resources/Links: 

• Neonatal Resuscitation Program (NRP)/American Academy of Pediatrics 

Neonatal Resuscitation Program (aap.org)

Links:

https://www.aap.org/en/learning/neonatal-resuscitation-program/

About the Speaker:

Host: Jolene "Jody" Carlton, DNP, APRN, CPNP-PC/AC, RNC-NIC, EMT-B – Jolene "Jody" Carlton, DNP, APRN is a Pediatric Nurse Practitioner affiliated with UVA Health University Medical Center in Charlottesville. She holds multiple certifications including CPNP-PC/AC and RNC-NIC.

Clerkship Ready: Pediatrics is a podcast aimed at medical students doing their clinical clerkship in Pediatrics. The views expressed are the speakers' own and do not constitute medical advice.