<p>The IMmediate Postpartum Access&#xa0;to Cardiac Therapy (IMPACT) procedure is a multidisciplinary, collaborative, highly coordinated clinical service in which a planned delivery and intensive neonatal care are offered for conditions where there is a high likelihood of postnatal instability. This process includes prenatal consultation with the parent(s), involving each service engaged with the delivery, postnatal resuscitation, and procedural care. A Cesarean section delivery is planned in an operating room with immediate access to a multifunctional procedural suite where the neonate can undergo rapid cardiac evaluation and initiation of interventional treatments which can have a positive, life-saving impact<b>.</b> This review describes the details of this unique procedure and multidisciplinary program at one institution.</p>

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Transitioning from the safety of the womb to the outside world for neonates with life-threatening cardiovascular conditions: The IMmediate Postpartum Access to Cardiac Therapy (IMPACT) Procedure

  • Asif Padiyath,
  • Jennifer M. Lynch,
  • Lisa M. Montenegro,
  • Susan C. Nicolson,
  • Olivia Nelson,
  • Anita L. Szwast,
  • Amanda J. Shillingford,
  • Christine B. Falkensammer,
  • Jill J. Savla,
  • Julie Moldenhauer,
  • Nahla Khalek,
  • Jack Rychik

摘要

The IMmediate Postpartum Access to Cardiac Therapy (IMPACT) procedure is a multidisciplinary, collaborative, highly coordinated clinical service in which a planned delivery and intensive neonatal care are offered for conditions where there is a high likelihood of postnatal instability. This process includes prenatal consultation with the parent(s), involving each service engaged with the delivery, postnatal resuscitation, and procedural care. A Cesarean section delivery is planned in an operating room with immediate access to a multifunctional procedural suite where the neonate can undergo rapid cardiac evaluation and initiation of interventional treatments which can have a positive, life-saving impact. This review describes the details of this unique procedure and multidisciplinary program at one institution.