Objective To develop a mobile resuscitation platform—intact cord resuscitation (ICR) trolley and to assess the safety, feasibility and acceptability of its use during delayed cord clamping (DCC). Study design Bench-side product development and single-arm experimental study. Participants and methods We first developed a theoretical framework of the specifications required for the platform which can provide resuscitation close to the delivery/operating table. The theoretical framework was then translated into a working model in a series of iterations. After testing and training of healthcare workers in a simulated environment, the trolley was tested to perform DCC in neonates who were born at ≥34 weeks of gestation and were breathing spontaneously at birth. Outcomes measured Primary outcome was the feasibility of DCC using the ICR trolley defined as the proportion of babies successfully completing 180 s of DCC on the trolley. Secondary outcomes included the proportion of babies with 1 min heart rate (HR) and oxygen saturation (SpO2) recorded, neonatal and maternal safety outcomes, and acceptability among care providers. Results Among 50 neonates (gestation: 36.9±1.9 weeks and birth weight: 2544±649 g) enrolled in the study, DCC for ≥180 s was successfully done in 42 (84%) neonates. The mean duration of DCC was 170±27 s. HR and SpO2 at 1 min were recorded successfully in 92% of the babies. The majority of the maternal and neonatal care provider strongly supported the use of ICR trolley. Conclusion We developed an ICR trolley and successfully tested the feasibility and acceptability of its use in healthy neonates undergoing DCC.

中文翻译：

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完整的脐带复苏推车的开发和测试

目的开发一种移动复苏平台——完整脐带复苏（ICR）手推车，并评估其在延迟脐带夹（DCC）期间使用的安全性、可行性和可接受性。研究设计 台式产品开发和单臂实验研究。参与者和方法 我们首先开发了一个平台所需规格的理论框架，该平台可以提供接近分娩/手术台的复苏。然后在一系列迭代中将理论框架转化为工作模型。在模拟环境中对医护人员进行测试和培训后，该手推车被测试用于对孕 34 周以上出生且出生时有自主呼吸的新生儿进行 DCC。测量结果 主要结果是使用 ICR 手推车进行 DCC 的可行性，定义为婴儿在手推车上成功完成 180 秒 DCC 的比例。次要结果包括记录 1 分钟心率 (HR) 和血氧饱和度 (SpO2) 的婴儿比例、新生儿和产妇安全结果以及护理提供者的可接受性。结果本研究纳入的50名新生儿（孕周：36.9±1.9周，出生体重：2544±649 g）中，42名（84%）新生儿成功完成≥180 s的DCC。DCC 的平均持续时间为 170±27 秒。92% 的婴儿成功记录了 1 分钟的 HR 和 SpO2。大多数孕产妇和新生儿护理提供者强烈支持使用 ICR 手推车。