Transportation of the pathological newborn

Kateřina Fabichová, MD Chief Physician of the Perinatological centre, Hospital Most, Most, Czech Republic

The algorithm describes a completely real situation of childbirth in the neonatal unit I, type. Childbirth is risky for gemini, but already in a favorable gestational week. While the adaptation of twin A is completely physiological, in twin B, after a prolonged pelvic delivery, a disorder of postpartum adaptation and subsequent further complications occur. The algorithm didactically emphasizes the solution of the current clinical condition and values ​​of vital functions, which leads to further steps. The first is the treatment of hypoxia and then the indication of the transfer of the newborn to a neonatological workplace of a higher type using equipment to ensure a thermoneutral environment according to the gestational week of the child with the possibility of both oxygen therapy and respiratory support. An integral part of transport to a higher workplace is the form of passing on all information about the patient. The steps in the algorithm follow each other logically and the team is able to anticipate and react immediately to changes in the newborn's health. As a result, the student realizes how quickly the clinical condition of the newborn can deteriorate. Each decision is sufficiently reasoned in the explanatory text.