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Updated: Jul 9, 2026
09:03
The Perinatal Asphyxiated Lamb Model: A Model for Newborn Resuscitation
Published on: August 15, 2018
Resuscitative procedures at birth in late preterm infants
M F B de Almeida1, R Guinsburg, J O da Costa
1Neonatal Division, Department of Pediatrics, Federal University of São Paulo, São Paulo, Brazil.
Summary
Resuscitation of late preterm infants is often needed. Interventions like bag and mask ventilation were linked to factors such as twin gestation and maternal hypertension, suggesting areas for improved prenatal care.
Area of Science:
- Neonatal Medicine
- Perinatal Health
- Pediatric Resuscitation
Background:
- Late preterm infants (34-41 weeks gestation) often require medical interventions at birth.
- Understanding factors necessitating resuscitation is crucial for improving neonatal outcomes.
Purpose of the Study:
- To evaluate the need for resuscitative procedures in late preterm infants at birth.
- To identify variables associated with the requirement for bag and mask ventilation in this population.
Main Methods:
- Prospective cohort study of liveborn infants (34-41 weeks gestation) without congenital anomalies.
- Data collected from 35 public hospitals across 20 Brazilian state capitals.
- Logistic regression analysis to determine factors associated with bag and mask ventilation.
Main Results:
- Out of 1054 late preterm infants, 485 required resuscitation.
- Bag and mask ventilation was administered to 14% of late preterms.
- Factors associated with bag and mask ventilation included twin gestation, maternal hypertension, non-vertex presentation, cesarean delivery, and lower gestational age.
Conclusions:
- Maternal hypertension control, extended gestation, and reduced operative deliveries may decrease resuscitation needs in late preterms.
- Targeted interventions could optimize neonatal care for late preterm infants.
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