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Perinatal home care and compliance with neonatal resuscitation guidelines. A perinatal home care program was developed to provide home care to mothers and their newborn infants. The program utilized Home Assessment and Education for Obstetricians and Neonatologists HOME checklist, an assessment tool, to establish an appropriate perinatal care plan.
It also provided, when necessary, home adaptations, education, and interventions. The purpose of this study was to evaluate compliance with neonatal resuscitation guidelines at home and at the hospital for infants at the risk of intrapartum asphyxia. A prospective cohort study of home births and hospital deliveries at the risk of intrapartum asphyxia was conducted. During the study period, there were 53 home births and 15 hospital births. There was no delivery room intubation during the home births.
However, a total of three delivery room intubations occurred in the hospital births. The intubations in the hospital births occurred at a mean of Compliance with the guidelines increased during the study. This study found that systematic perinatal home care with interventions to address the individual needs of mothers and their infants can achieve acceptable neonatal resuscitation care at the time of birth.
The protocol for home newborn assessment was an important contributor to this good compliance. The present invention relates to a method and apparatus for creating an optical fiber radiation alignment device ORAD and more specifically to a mechanical and optical system for aligning and thermally stabilizing fiber ends. Pigtailing of fiber optic devices that share a common fiber end may be used to create a usable fusion splice or an accurate mechanical alignment of two or more devices.
Generally, in the prior art, the fiber ends are aligned by mechanically pressing a flat end face of one fiber against an end face of another fiber. The end face of one fiber is secured in a permanent position against the end face of another fiber and the fibers are subsequently heated. The attachment of the fibers is permanent and the alignment is thus accurate. There are, however, problems with the prior art method. Because the fibers are heated. Charles R. Windows 7, 8, 8.
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