I'm stepping off topic to add my 30 ml and then ask that we not spend more
LN energy on it.
This research is not new, and it is landmark research on the treatment of
babies who are born in very very bad condition, with low pH that otherwise
would predispose them for severe cerebral edema over the next several days
which has known, grave, long term consequences.

We are not talking about babies who need to be rubbed a few times with a
warm towel to start breathing.  This is about babies who are born entirely
non-responsive, as in Apgars of 3 or below at both one and five minutes.
These kids don't do well with today's standard treatment and there are
preliminary results from animal studies that show that induced hypothermia
while pH is corrected may help.

Again - none of the candidates for hypothermia treatment would be getting
skin to skin care even if they were not hypothermic, except in settings
where the only thing to do would be to keep them with mom while they wait to
expire.  They would be on ventilators in NICUs, probably heavily medicated
to prevent seizures, for days and days and days.

If there are hospitals where so many babies are born in this condition that
it would change the immediate post partum experience for many many mothers,
they might want to send their obstetric staff on a course here to try and
learn some new ways of catching babies that doesn't involve nearly killing
them in the process.  I'm happy to put people up in my guest room for such
experiences.

Rachel Myr, now writing as a midwife in a tertiary care hospital where this
might impact on 1 baby in 1000 in a bad year
Kristiansand, Norway

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