Delivery room management of extremely low birthweight infants shows marked geographical variations in Italy

Daniele Trevisanuto, Irene Satariano, Nicoletta Doglioni, Giulio Criscoli, Francesco Cavallin, Camilla Gizzi, Claudio Martano, Fabrizio Ciralli, Flaminia Torielli, Paolo E. Villani, Sandra Di Fabio, Lorenzo Quartulli, Luigi Giannini

Research output: Contribution to journalArticlepeer-review


AIM: To evaluate any geographical variations in practice and adherence to international guidelines for early delivery room management of extremely low birthweight (ELBW) infants in the North, Centre and South of Italy.

METHODS: A questionnaire was sent to all 107 directors of Italian level III centres between April and August 2012.

RESULTS: There was a 92% (n = 98) response rate. A polyethylene bag/wrap was used by 54 centres (55.1%), with the highest rate in Northern Italy (77.5%) and the lowest rate in Southern (37.7%) areas. In Northern regions, one centre (2.5%) said it used oxygen concentrations >40% to initiate positive pressure ventilation in ELBW infants. These proportions were higher in the Central (14.3%) and Southern (16.2%) areas. A T-piece device for positive pressure ventilation was more frequently available in the Northern (95%) units than in those in the Central (66.7%) and Southern (69.4%) regions. A median of 13% (IQR: 5%-30%) of ELBW infants received chest compressions at birth in Italy: 5%, 18% and 22% in Northern, Central and Southern units, respectively.

CONCLUSION: In Italy, delivery room management of ELBW infants showed marked geographical variations. Implementation of national training programmes could increase adherence to the guidelines and reduce such discordance.

Original languageEnglish
Pages (from-to)605-611
Number of pages7
JournalActa Paediatrica, International Journal of Paediatrics
Issue number6
Publication statusPublished - Jun 1 2014


  • Delivery room
  • Guidelines
  • Preterm infant
  • Resuscitation
  • Survey

ASJC Scopus subject areas

  • Medicine(all)


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