P189 Admission rates to NICU from assisted deliveries

Aim Our aim was to determine admission rates to the neonatal ICU from operative vaginal deliveries(OVDs) as well as elective and emergency Caesarean sections(C/S). By completing this audit we aimed to establish the need for Paediatric SHO presence at the above deliveries. Methods Our study period was the month of February 2018. We excluded all births under 35 weeks gestation who would qualify for an automatic admission to the NICU. Our study population included any infants born by either elective/emergency CS and OVDs. We obtained our data set from Medical records and isolated our study population. Using the electronic medical record we determined the mode of delivery, reason for same and if an admission to NICU was required within in the first 4 hours of life. Results In the study period there were 561 live births. 213 infants were delivered by either C/S or OVD. There were 77 OVDs and 136 C/S, which could be further broken down into 69 Emergency C/S and 67 Elective. Of the OVDs 16 patients were admitted to the NICU giving an overall admission rate of 22%. Interestingly both C/S populations showed the same number of admissions;10 per group. Conclusion As Neonatal SHO’s we are required to attend all C/S as well as OVDs. The above data shows no difference between the admission rates of infants born by emergency versus elective C/S. However, the admission rate of infants born by OVD is 1 in 5. From this audit it could be determined that there is a continued need for Paediatric assistance at above deliveries however there is the need for further investigation into the timing and reason for above admissions. Going forward we would like to compare the above figures with admission rates to NICU from Spontaneous Vaginal Deliveries.