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Changes in resuscitation practice at birth.

A C L Allwood1, R J Madar, J H Baumer

  • 1Derriford Hospital, Plymouth, UK.

Archives of Disease in Childhood. Fetal and Neonatal Edition
|August 26, 2003
PubMed
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Neonatal resuscitation intubation rates significantly decreased over four years without impacting effectiveness. This suggests improvements in resuscitation training and practices may be responsible for the observed changes.

Area of Science:

  • Neonatal Medicine
  • Pediatric Resuscitation
  • Clinical Practice Improvement

Background:

  • Neonatal resuscitation practices have evolved over time.
  • Understanding secular trends in neonatal resuscitation is crucial for optimizing infant outcomes.
  • Variations in resuscitation techniques may influence neonatal morbidity.

Purpose of the Study:

  • To examine changes in neonatal resuscitation methods over a four-year period.
  • To assess the impact of introducing T-piece ventilation on resuscitation practices.
  • To evaluate the association between changes in resuscitation and neonatal outcomes.

Main Methods:

  • An observational study of 17,890 infants from May 1993 to April 1997.
  • Data collected on ventilatory resuscitation rates, modes, and neonatal complications.

Related Experiment Videos

  • Logistic regression analysis was used to assess the influence of time and T-piece ventilation.

    • Main Results:

    • Overall ventilatory resuscitation rates declined from 11.0% to 8.9%.
    • Intubation rates decreased from 2.4% to 1.2%, observed across gestations of 30 weeks and above.
    • No significant changes in major neonatal problems were noted, except for a reduction in neonatal convulsions.

    Conclusions:

    • A substantial reduction in neonatal intubation rates was achieved.
    • The observed decrease in intubation did not compromise resuscitation efficacy.
    • Improvements in resuscitation training and evolving practices are likely contributors.