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Updated: Mar 15, 2026
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The Perinatal Asphyxiated Lamb Model: A Model for Newborn Resuscitation
Published on: August 15, 2018
11.4K
When should resuscitation at birth cease?
J S McGrath1, C C Roehr2, D J C Wilkinson3
1John Radcliffe Hospital, Oxford, UK.
Early Human Development
|September 19, 2016
Summary
Guidelines for stopping newborn resuscitation are lacking. This paper reviews current resuscitation guidance and evidence, proposing a structured approach for these critical decisions.
Area of Science:
- Neonatal Medicine
- Resuscitation Science
- Medical Ethics
Background:
- Newborn resuscitation guidelines exist for initiation but lack detail on cessation.
- Prolonged resuscitation in neonates is rare but requires clear decision-making criteria.
- Existing guidance for adult and pediatric resuscitation differs from neonatal considerations.
Purpose of the Study:
- To review current adult, pediatric, and neonatal resuscitation guidelines.
- To examine evidence on outcomes for neonates requiring prolonged resuscitation.
- To propose a structured ethical framework for stopping neonatal resuscitation.
Main Methods:
- Literature review of resuscitation guidelines (adult, pediatric, neonatal).
- Analysis of recent evidence on outcomes for prolonged neonatal resuscitation.
- Discussion of ethical principles relevant to resuscitation cessation and post-resuscitation care.
Main Results:
- Limited specific guidance exists for discontinuing neonatal resuscitation.
- Evidence on outcomes for prolonged neonatal resuscitation is scarce.
- Ethical considerations are crucial in guiding resuscitation decisions.
Conclusions:
- A structured approach to stopping neonatal resuscitation is needed.
- Ethical principles should inform decisions regarding resuscitation and post-resuscitation care.
- Further research is required to establish evidence-based criteria for cessation.
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