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Is It Possible to Perform Quality Neonatal CPR While Maintaining Skin-to-Skin Contact? A Crossover Simulation Study.

Myriam Santos-Folgar1,2,3,4, Alejandra Alonso-Calvete1,5, Adriana Seijas-Vijande1

  • 1REMOSS Research Group, Faculty of Education and Sports Sciences, University of Vigo, 36005 Pontevedra, Spain.

Children (Basel, Switzerland)
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PubMed
Summary

Performing cardiopulmonary resuscitation (CPR) on newborns over the mother's body during skin-to-skin contact (SSC) is feasible. This method maintained resuscitation quality comparable to standard CPR, supporting maternal-newborn bonding.

Keywords:
CPR: neonataldelayed cord clampingemergency carequalityskin-to-skin contact

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Area of Science:

  • Neonatal Resuscitation
  • Perinatal Care
  • Maternal-Newborn Bonding

Background:

  • Assessing the feasibility and quality of newborn resuscitation over the mother's body.
  • Maintaining skin-to-skin contact (SSC) and delayed cord clamping during resuscitation.
  • Investigating novel approaches to neonatal resuscitation in the delivery room.

Purpose of the Study:

  • To evaluate the feasibility of performing cardiopulmonary resuscitation (CPR) on a newborn positioned over the mother during SSC.
  • To compare the quality of neonatal resuscitation maneuvers during SSC versus standard CPR (Std-CPR).
  • To determine if SSC-CPR impacts key compression and ventilation variables.

Main Methods:

  • A randomized crossover manikin study involving 40 nursing students trained in neonatal CPR.
  • Comparison of standard CPR (Std-CPR) with CPR performed during SSC (SSC-CPR) using Laerdal Resusci Baby QCPR® manikins.
  • Evaluation of compression and ventilation quality metrics, including rate, depth, and recoil.

Main Results:

  • No significant differences in compression quality between Std-CPR (74%) and SSC-CPR (74%, p=0.79).
  • Ventilation quality was comparable: Std-CPR (94%) vs. SSC-CPR (96%, p=0.12).
  • Overall CPR quality showed similar medians: Std-CPR (75%) vs. SSC-CPR (82%, p=0.06), indicating feasibility without compromising quality.

Conclusions:

  • Performing CPR on a newborn over the mother during SSC is feasible and does not compromise resuscitation quality.
  • This technique may enhance maternal-newborn bonding and potentially improve newborn outcomes.
  • Further research is recommended to address simulation limitations and real-world applicability in diverse labor scenarios.