The Incubator #386 - š¢ HOT TOPICS 2025 COVERAGE - How Can We Improve Delivery Room Practice Across All Birth Settings?
7 snips
Dec 10, 2025 
Dr. Elizabeth Foglia, an academic neonatologist and principal investigator for the AAP DRIVE Network, delves into the disparities of delivery room practices across nearly 3,000 U.S. hospitals. She discusses the significant evidence-to-practice gap regarding supraglottic airways for infant resuscitation, despite strong supporting research. The conversation highlights the SUGAR trial, which seeks innovative strategies to boost clinical adoption, and the future growth of the DRIVE Networkāaiming to enhance neonatal care through collaborative quality improvement and benchmarking.
AI Snips
Chapters
Transcript
Episode notes
Delivery Rooms Vary Wildly Nationwide
- Delivery rooms across the U.S. are highly variable in staffing, equipment, and practice.
- Understanding only academic centers misses real-world practice in ~3,000 birthing hospitals.
Multipurpose Network For Trials And QI
- DRIVE aims to support research, benchmarking, and pragmatic trials across diverse hospitals.
- The network intentionally combines QI, data collection, and trial infrastructure to serve many needs.
Big EvidenceāPractice Gap For LMAs
- Strong evidence shows supraglottic airways outperform face masks for PPV in infants ā„34 weeks.
- Despite guidelines endorsing LMAs, provider adoption remains strikingly low, exposing an evidence-to-practice gap.