Early care of the preterm infant – current evidence

The quality of care delivered in the immediate aftermath of delivery is crucial in determining short and long term outcomes for babies, especially in those born at less than 28 weeks gestation. From parental counselling and team preparation prior to delivery, to delivery suite management and early care on the neonatal unit, each element plays an important role. Good team working, excellent communication, and a focussed and logical approach are essential. This article gives an overview of the key considerations to be incorporated in to this period, and reviews the latest evidence base behind recommendations including thermoregulatory support, delayed cord clamping, oxygen supplementation, PEEP versus intubation, and the role of surfactant.