Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Jan 3;6(1):4.
doi: 10.3390/children6010004.

Chest Compressions in the Delivery Room

Catalina Garcia-Hidalgo  1   2 , Georg M Schmölzer  3   4
Affiliations
Review

Chest Compressions in the Delivery Room

Catalina Garcia-Hidalgo et al. Children (Basel). .

Abstract

Annually, an estimated 13⁻26 million newborns need respiratory support and 2⁻3 million newborns need extensive resuscitation, defined as chest compression and 100% oxygen with or without epinephrine in the delivery room. Despite such care, there is a high incidence of mortality and neurologic morbidity. The poor prognosis associated with receiving chest compression alone or with medications in the delivery room raises questions as to whether improved cardiopulmonary resuscitation methods specifically tailored to the newborn could improve outcomes. This review discusses the current recommendations, mode of action, different compression to ventilation ratios, continuous chest compression with asynchronous ventilations, chest compression and sustained inflation optimal depth, and oxygen concentration during cardiopulmonary resuscitation.

Keywords: chest compressions; delivery room; infants; neonatal resuscitation; newborn.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Aziz K., Chadwick M., Baker M., Andrews W. Ante- and intra-partum factors that predict increased need for neonatal resuscitation. Resuscitation. 2008;79:444–452. doi: 10.1016/j.resuscitation.2008.08.004. - DOI - PubMed
    1. Perlman J.M., Wyllie J.P., Kattwinkel J., Wyckoff M.H., Aziz K., Guinsburg R., Kim H.S., Liley H.G., Mildenhall L., Simon W.M. Part 7: Neonatal resuscitation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Pediatrics. 2015;136:S204–S241. doi: 10.1542/peds.2015-3373D. - DOI - PubMed
    1. Wyckoff M.H., Aziz K., Escobedo M.B., Kapadia V.S., Kattwinkel J., Perlman J.M., Simon W.M., Weiner G.M., Zaichkin J.G. Part 13: Neonatal resuscitation 2015 American heart association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care (reprint) Pediatrics. 2015;136:S196–S218. doi: 10.1542/peds.2015-3373G. - DOI - PubMed
    1. Barber C.A., Wyckoff M.H. Use and efficacy of endotracheal versus intravenous epinephrine during neonatal cardiopulmonary resuscitation in the delivery room. Pediatrics. 2006;118:1028–1034. doi: 10.1542/peds.2006-0416. - DOI - PubMed
    1. Harrington D.J., Redman C.W., Redman C.W., Moulden M., Greenwood C.E., Greenwood C.E. The long-term outcome in surviving infants with Apgar zero at 10 min: A systematic review of the literature and hospital-based cohort. Am. J. Obstet. Gynecol. 2007;196:e1–e5. doi: 10.1016/j.ajog.2006.10.877. - DOI - PubMed

LinkOut - more resources