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Monitoring heart rate in the delivery room.
J A Dawson1, G M Schmölzer2, J Wyllie3
1Newborn Research Centre, The Royal Women's Hospital, Melbourne, Victoria, Australia; Neonatal Research, Murdoch Children's Research Institute, Melbourne, Victoria, Australia; Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia.
Seminars in Fetal & Neonatal Medicine
|July 15, 2018
Summary
Neonatal heart rate (HR) assessment is crucial for resuscitation, but current guidelines use outdated values. New methods are emerging to accurately monitor infant HR at birth, considering delivery factors.
Area of Science:
- Neonatal physiology
- Cardiology
- Pediatric resuscitation
Background:
- Heart rate (HR) is vital for neonatal resuscitation algorithms and assessing intervention effectiveness.
- Current HR guidelines rely on historical physiological data, potentially overlooking factors like delivery mode and cord clamping.
- Accurate assessment and monitoring of newborn infant HR are still evolving.
Purpose of the Study:
- To examine the significance of heart rate values in neonatal care.
- To review established methods for estimating newborn infant heart rate.
- To explore emerging technologies for HR monitoring in neonates.
Main Methods:
- Literature review of current resuscitation guidelines and HR assessment techniques.
- Analysis of factors influencing HR at birth.
- Overview of developing HR monitoring modalities.
Main Results:
- Existing HR values in resuscitation may not reflect physiological variations at birth.
- Mode of delivery, cord clamping, and respiratory status impact neonatal HR.
- Novel methods for HR assessment and monitoring are under development.
Conclusions:
- Re-evaluation of historical HR values in neonatal resuscitation is warranted.
- Accurate HR monitoring is essential for effective neonatal care and intervention.
- Advancements in technology promise improved HR assessment in newborns.
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