Golden 60 minutes of newborn's life: Part 2: Term neonate

J Matern Fetal Neonatal Med. 2017 Nov;30(22):2728-2733. doi: 10.1080/14767058.2016.1261399. Epub 2016 Nov 29.

Abstract

The concept of "Golden 60 minutes" or "Golden Hour" has been derived from adult trauma. It has been defined as the first 60 min of postnatal life. It has been seen that care received by any newborn in the initial first hour has implications in the future life, showing the importance of golden hour. The major cause of neonatal mortality term newborn is asphyxia, which can be reduced with effective resuscitation. In golden hour approach for term newborn, the importance is given to effective and evidence based resuscitation, post-resuscitation care, delayed cord clamping, prevention of hypothermia, immediate breast feeding, prevention of hypoglycemia, and starting of therapeutic hypothermia in case of moderate to severe asphyxia. In this part of review, we will cover all the golden hour interventions in term neonate with current evidence.

Keywords: Golden 60 minutes; Golden hour; newborn; term.

Publication types

  • Review

MeSH terms

  • Constriction
  • Female
  • Humans
  • Hypoglycemia / prevention & control
  • Hypothermia / prevention & control
  • Infant, Newborn* / physiology
  • Intensive Care, Neonatal
  • Pregnancy
  • Resuscitation / methods
  • Resuscitation / standards
  • Term Birth / physiology*
  • Time Factors
  • Umbilical Cord / blood supply