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. 2019 Dec 29;3(1):e000592.
doi: 10.1136/bmjpo-2019-000592. eCollection 2019.

Incidence of newborn resuscitative interventions at birth and short-term outcomes: a regional population-based study

Peder Aleksander Bjorland  1   2 , Knut Øymar  1   2 , Hege Langli Ersdal  3   4 , Siren Irene Rettedal  1
Affiliations

Incidence of newborn resuscitative interventions at birth and short-term outcomes: a regional population-based study

Peder Aleksander Bjorland et al. BMJ Paediatr Open. .

Abstract

Objectives: To determine the incidence and characteristics of resuscitative interventions at different gestational ages and short-term outcomes after resuscitation.

Design setting and patients: A prospective observational study in an unselected population at Stavanger University Hospital, Norway, from October 2016 until September 2017.

Interventions: Using a data collection form and video recordings, we registered and analysed resuscitative interventions.

Main outcome measures: Incidence of continuous positive airway pressure (CPAP), positive pressure ventilation (PPV), intubation, chest compressions and intravenous fluid or epinephrine boluses. Short-term outcomes of resuscitated newborns.

Results: All 4693 newborns in the study period were included in the study. Two hundred and ninety-one (6.2%) newborns received interventions in the first minutes of life beyond drying and stimulation. PPV was provided in 170 (3.6%) while CPAP (without PPV) was provided in 121 (2.6%) newborns. Duration of PPV was median (IQR) 106 s (54-221). Intubations were performed in 19 (0.4%) newborns, with a mean (SD) intubation time of 47 (21) s. Ten (0.2%) newborns received chest compressions and epinephrine was administrated in three (0.1%) newborns. Sixty-three per cent of the treated newborns from 34 weeks' gestational age were returned to parental care without further follow-up.

Conclusions: The need for resuscitative interventions after birth was frequent in this unselected population in a high-resource setting, but full cardiopulmonary resuscitation was rare. Short-term outcomes were good, suggesting that most newborns treated with resuscitative interventions were not severely affected.

Keywords: asphyxia; incidence; newborn resuscitation; short term outcomes; ventilation.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Overview of the studied population *Parental consent was preferably obtained during hospital stay, or else by letter (n=112). Three parents were not asked due to language difficulties. †Videos were automatically deleted after 3 weeks. Consent obtained after 3 weeks resulted in data extraction from patient records alone. ‡Only main resuscitation cribs were equipped with cameras. CPAP, continuous positive airway pressure.
See this image and copyright information in PMC

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