This is a ductal-dependent lesion and the baby will need prostaglandin infusion to maintain a patent ductus arteriosus to provide systemic blood flow. Given that the lesion is ductal dependent,we would recommend neonatology attendance at delivery with initial stabilization and treatment of the infant in the NEST (Newborn Evaluation, Stabilization, and Treatment Room) with prostaglandin initiation, umbilical line placement and an echocardiogram prior to admission to the PCTU (Pediatric Cardiothoracic ICU). We anticipate that the baby will be stable from a cardiovascular standpoint at delivery and for a short time thereafter as the ductus arteriosus will be open. Initial oxygen saturations above 75% are acceptable for this heart lesion. Therefore, if the baby appears well in the delivery room we would encourage a lot of family a brief period of time for appearance parent-baby bonding either before initial assessment in the NEST or after initial assessment in the NEST and prior to line placement.
- Ian Thomas
- Naomi T. Laventhal
- Sarah Gelehrter
