![]() There has been an otherwise unremarkable antenatal course with normal scans. The CTG is “a bit iffy” according to the midwife who hands over to you. The expectant mother has been pushing for over an hour and your Obstetric colleague has called for a vacuum after a post-dates induction. ![]() It’s 2am and you (the Paeds Reg), are called to the Birth Suite. Use your local guidelines and discuss with a neonatologist early.Neonates must only be actively cooled in a tertiary neonatal centre. ![]() If the child fits the FEAST criteria during or soon after resus, they might be a candidate for cooling.Cooling improves mortality rates without additional adverse neurodevelopmental outcomes at 18 months.Consider and identify hypoxic ischaemic encephalopathy early.
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