Sharma Deepak, Sharma Pradeep, Shastri Sweta
a NEOCLINIC , TN Mishra Marg , Jaipur , India.
b Department of Medicine , Mahatma Gandhi Medical College , Jaipur , India.
J Matern Fetal Neonatal Med. 2017 Nov;30(22):2728-2733. doi: 10.1080/14767058.2016.1261399. Epub 2016 Nov 29.
The concept of "Golden 60 minutes" or "Golden Hour" has been derived from adult trauma. It has been defined as the first 60 min of postnatal life. It has been seen that care received by any newborn in the initial first hour has implications in the future life, showing the importance of golden hour. The major cause of neonatal mortality term newborn is asphyxia, which can be reduced with effective resuscitation. In golden hour approach for term newborn, the importance is given to effective and evidence based resuscitation, post-resuscitation care, delayed cord clamping, prevention of hypothermia, immediate breast feeding, prevention of hypoglycemia, and starting of therapeutic hypothermia in case of moderate to severe asphyxia. In this part of review, we will cover all the golden hour interventions in term neonate with current evidence.
“黄金60分钟”或“黄金1小时”的概念源自成人创伤领域。它被定义为出生后生命的最初60分钟。人们发现，任何新生儿在最初1小时内获得的护理对其未来生活都有影响，这表明了黄金1小时的重要性。足月儿新生儿死亡的主要原因是窒息，而有效的复苏可降低窒息发生率。在足月儿的黄金1小时方案中，重点在于有效的循证复苏、复苏后护理、延迟脐带结扎、预防体温过低、尽早母乳喂养、预防低血糖，以及在中重度窒息时启动治疗性低温。在本综述的这一部分，我们将依据当前证据涵盖足月儿黄金1小时的所有干预措施。
