Table 1.
Fetal diagnosis |
Critical congenital heart disease expected to require NICU/CTICU admission with mother-baby separation Exclusions: CHD with increased risk for cardiopulmonary instability TGA/IVS HLHS/IAS TAPVR Complete Heart block Severe Ebstein’s anomaly Any condition with increased risk for clinical deterioration in the first few hours of life |
Delivery |
Planned delivery within neonatal service line Exclusions: clear plan in place for perinatal palliative care |
Perinatal stability | No positive pressure ventilation needed |
Minimum Apgar score of 8 at 1 min AND 8 at 5 min | |
Gestational age ≥ 37 weeks |
Eligibility criteria for delivery room skin-to-skin (SSC)
NICU neonatal intensive care unit, CTICU cardiac intensive care unit, CHD congenital heart disease, TGA/IVS transposition of the great arteries with intact ventricular septum, HLHS/IAS hypoplastic left heart syndrome with intact atrial septum, TAPVR total anomalous pulmonary venous return