I work in a small rural hospital. 300 births a yr. We had a 23 1/7 wk mom walk in at 0250, complaining of mild cramping since having intercourse around 1700. States she is feeling better. Rates pain 4, compares to mild period cramp. It had been a night from hell on our floor..anyhow. Hooked her up to EFM, showing 20-40 sec crampettes. Most she wasn't feeling. Got orders from doc to check her at 0320..bulging bag and complete. Doc gave orders not to resusitate, being the kiddo is only 23 wks. Anyhow baby delivered at 0330 with a HR of 100, no respirtory effort..agonal type breaths. ER doc came down who trained at a childrens hosp and was wanting to resusitate.
Baby weighed 597 gm (1# 5oz). This was my first experience with pre-term delivery(this early). My senior nurse was adamant we doing nothing per pt doc orders.
What does your NICU consider non viable and what is your criteria.
We don't have surfactant and our closest NICU is 45 min away.
I'd appreciate your input.