Addressing the humans in the delivery room—optimising neonatal monitoring and decision-making in transition

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dc.contributor.authorSchwarz, Christoph E.en
dc.contributor.authorSchwaberger, Bernharden
dc.contributor.authorFlore, Alice Irideen
dc.contributor.authorJoyce, Roberten
dc.contributor.authorWoodworth, Simonen
dc.contributor.authorAdam, Fredericen
dc.contributor.authorDempsey, Eugene M.en
dc.date.accessioned2025-05-13T08:54:16Z
dc.date.available2025-05-13T08:54:16Z
dc.date.issued2025
dc.description.abstractDuring the first minutes of life, complex dynamic processes occur, facilitating a normal transition to ex utero life. In healthy term infants, these processes typically occur with minimal intervention required but are often more challenging for the preterm infant. These challenges involve not only the physiological processes encountered but also an organizational process: that of a team of healthcare providers led by a neonatologist, establishing a diagnosis based on clinical and technical information and initiating time-critical and potentially life-altering interventions. In this narrative review, we highlight the challenges of both processes. We explore the role and limitations of well-established and newer potential monitoring modalities, in particular respiratory function monitoring and cerebral near-infrared spectroscopy, to optimally inform the team in regards to physiological processes. We also evaluate the important role that human factors play in the process of decision-making. Both are important for optimal performance to enable successful transition and thereby reduce short- and long-term problems. We identify research goals to inform future studies to further optimize technological and human aspects in the first minutes of life.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid402en
dc.identifier.citationSchwarz, C. E., Schwaberger, B., Flore, A. I., Joyce, R., Woodworth, S., Adam, F. and Dempsey, E. M. (2025) 'Addressing the humans in the delivery room - optimising neonatal monitoring and decision-making in transition', Children, 12(4), 402 (16pp). https://doi.org/10.3390/children12040402en
dc.identifier.doi10.3390/children12040402en
dc.identifier.issn22279067en
dc.identifier.issued4
dc.identifier.journaltitleChildrenen
dc.identifier.urihttps://hdl.handle.net/10468/17430
dc.identifier.volume12
dc.language.isoenen
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)en
dc.rights© 2025, the Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/ licenses/by/4.0/). en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectDelivery roomen
dc.subjectNeonatal resuscitationen
dc.subjectNewbornsen
dc.subjectTeam communicationen
dc.subjectTeam performanceen
dc.subjectTransitionen
dc.subject~Paediatrics and Child Health - Journal Articles~en
dc.subject~Business Information Systems - Journal Articles~en
dc.subject~Cork University Business School - Journal Articles~en
dc.titleAddressing the humans in the delivery room—optimising neonatal monitoring and decision-making in transitionen
dc.typeArticle (peer reviewed)en
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