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Original research
Incidence of newborn resuscitative interventions at birth and short-term outcomes: a regional population-based study
  1. Peder Aleksander Bjorland1,2,
  2. Knut Øymar1,2,
  3. Hege Langli Ersdal3,4,
  4. Siren Irene Rettedal1
  1. 1 Department of Paediatrics, Stavanger University Hospital, Stavanger, Norway
  2. 2 Department of Clinical Science, University of Bergen, Bergen, Hordaland, Norway
  3. 3 Critical Care and Anaesthesiology Research Group, Stavanger University Hospital, Stavanger, Norway
  4. 4 Faculty of Health Sciences, University of Stavanger, Stavanger, Norway
  1. Correspondence to Dr Peder Aleksander Bjorland; peder.aleksander.bjorland{at}sus.no

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.

  • newborn resuscitation
  • incidence
  • ventilation
  • short term outcomes
  • asphyxia

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Footnotes

  • Contributors All authors are responsible for the reported research and have approved the manuscript as submitted. All authors designed the study protocol. PAB and SIR practically implemented, supervised and carried out the study and the data collection on site. PAB analysed all video materials. All authors participated in the interpretation of the results. PAB drafted the initial manuscript. All authors read and improved the final manuscript.

  • Funding PAB and SIR received an unconditional PhD grant from Laerdal Foundations.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement Data are available upon reasonable request.

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