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Neonatal Resuscitation Practices in Portuguese Delivery Rooms: A Cross-Sectional Study.
Natacha Alves1, Gustavo Rocha2, Filipa Flor-de-Lima3
1Faculdade de Medicina. Universidade do Porto. Porto. Portugal.
Acta Medica Portuguesa
|May 14, 2024
Summary
Portuguese physicians show high adherence to newborn resuscitation guidelines, but variations exist between hospitals and practices. Continuous education is crucial for improving neonatal care and outcomes.
Area of Science:
- Neonatal Resuscitation
- Healthcare Quality Improvement
- Evidence-Based Practice
Background:
- Inconsistent delivery room resuscitation practices are noted globally.
- Previous studies highlight discrepancies between evidence and practice.
- Assessing adherence to current guidelines in Portuguese delivery rooms is essential.
Purpose of the Study:
- To evaluate newborn healthcare and resuscitation quality in Portuguese delivery rooms.
- To compare current practices against the 2021 European Resuscitation Council guidelines.
- To analyze practice consistency between tertiary and non-tertiary centers.
Main Methods:
- An 87-question survey on neonatal care was distributed to Portuguese Neonatal Society physicians.
- Participants were categorized into Group A (level III/IIb centers) and Group B (level IIa/I centers).
- Descriptive analysis was used to compare practices between the two groups.
Main Results:
- 130 physicians responded; 70% from Group A, 30% from Group B.
- Over 80% reported trained staff, essential equipment, and delayed cord clamping.
- Less than 60% reported team briefing, advanced monitoring (ECG, capnography), CPAP, and temperature monitoring.
Conclusions:
- High overall adherence to international neonatal resuscitation guidelines was observed.
- Significant differences in practices were identified between centers and compared to guidelines.
- Key areas for improvement include team briefing, education, equipment, thermal control, and airway management.
