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alliedacademies
August 16-17, 2018 | Paris, France
Primary Healthcare
12th International Conference on International Conference and Medicare Expo on
&
Pediatrics Health Care
Joint Event
Journal of Current Pediatric Research | Volume: 22
The golden hour of Neonatal life: First hour after birth
Neha Srivastava
Genesis Hospital, India
Golden hour of neonatal life is defined as the first hour of
post-natal life in both preterm and post term neonates.
This concept of golden hour has been introduced in field of
neonatalogy to highlight the importance of neonatal care
in the first 60 minutes of postnatal life. As per the recent
researches it has been emphasized that the first hour of life
in preterm neonates is much more crucial and carries more
importance but neonatologists all around the world feel the
importance of golden hour concept equally in both preterm
and term neonates. Initial first hour of neonatal life includes
neonatal resuscitation, post resuscitation care, transportation
of sick newborn to neonatal intensive care unit, respiratory
and cardiovascular support and initial course in nursery. The
first hour of life for a preterm infant represents a time period
during which the infant faces challenges that carry risks of
short and long term injury, lifelong developmental delay and
even death. Delivery room personnel have the opportunity to
impact the transitional process, positively or negatively. During
this time period the clinician is faced with complex discussions
based on multiple systems that require attention knowing that
care in these first minutes of life can translate into lifelong
medical process. The studies that evaluated the concept of
golden hour in preterm neonates showed marked reduction
in hypothermia, hypoglycemia intraventricular hemorrhage
[IVH], bronchopulmonary dysplasia [BPD] and retinopathy
of prematurity [ROP]. In this article, we will discuss various
components of neonatal care that are included in the ‘Golden
hour’ of preterm and term neonatal care.
We will cover the following topics in detail:
• Antenatal counselling
• Delayed cord clamping
• Prevention of hypothermia / temperature maintenance
• Support to respiratory system
• Support to cardiovascular system
• Prevention of sepsis
• Prevention of hypoglycemia
• Early nutritional care
• Initiation of breast feeding
• Starting of therapeutic hypothermia for birth asphyxia
• Laboratory investigation
• Vitals monitoring
• Recording of birth weight, gender etc.
• Counselling of parents.
Speaker Biography
Neha Srivastava is a Pediatric Consultant at Genesis Child Hospital, India. She is 34 years
old, married since 8 years and a proud mother as well. She did her postgraduation in
Pediatrics from Bangalore, India in 2015 and since then, working in same field. Neha
Srivastava runs an NGO named Arrpann that works for the underprivileged children
in slums, orphanages and streets. Arrpann organizes medical camps and provide free
medical checkup and basic treatments for underprivileged kids. Neha Srivastava has
special interest in Neonatalogy and has always been amused by seeing tiny babies
coming to life. She will be joining her fellowship in Neonatalogy, this year December
onwards. Her topic of discussion explains the importance of the first hour after birth
and how crucial it is. Being a child specialist, the only way forward for her is to nurture
and protect the innocence of childhood and keep every child healthy and happy.
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Notes:
Neha Srivastava, Pediatrics & Primary HealthCare 2018, Volume 22
DOI: 10.4066/0971-9032-C1-002