ArticleJournal of perinatology : official journal of the California Perinatal Association2025
Structured pre-delivery huddles enhance confidence in managing newborns with critical congenital heart disease in the delivery room.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Development and implementation of educational modules on management of neonates with critical congenital heart disease in the delivery room (LEARN-CHD).Journal of perinatology : official journal of the California Perinatal Association · 2026Trial
- Video-based assessment of delivery room stabilization in newborns with prenatally diagnosed congenital heart disease: Insights beyond chart review.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Importance of clinical practice guidelines for specialized delivery room resuscitation of newborns with prenatally diagnosed critical congenital heart disease.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
- Advances in interdisciplinary care for term and preterm neonates with congenital heart disease: a narrative review.European journal of pediatrics · 2026Review
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundNewborns with critical congenital heart disease (CCHD) require specialized delivery room management, but varying experience and knowledge can reduce confidence and impact care.
methodsA pre-delivery, structured huddle checklist was introduced, addressing team roles, expected physiology, and management plans. PDSA cycles incorporated guidelines and simulation-based education to improve confidence in specialized resuscitation strategies. Surveys were conducted at baseline and 6 months.
resultsBaseline, all-respondent confidence in managing "all types of CCHD" was somewhat confident (median 3/5; IQR 2-4) increasing to moderately confident (4/5; IQR 2-4) at 6 months (p = 0.59). Respondents with 0-3 years' experience showed increased confidence over 6 months in identifying unstable infants (from baseline 24% to 67% moderately/very confident, p = 0.005), prostaglandin E1 needs (from 24% to 62%, p = 0.013) and sedation requirements (from 5% to 33%, p = 0.045).
conclusionStructured huddles improved confidence among less experienced team members, emphasizing the importance of shared mental models before CCHD deliveries.
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