Risk factors for advanced resuscitation in term and near-term infants: a case–control study

Abstract

We identified 10 risk factors significantly associated with the need for ANR in newborns ≥34 weeks. We developed a validated risk score that allows the identification of newborns at higher risk of need for ANR. Using this tool, the presence of specialised personnel in the delivery room may be designated more appropriately.

Delivery Room Resuscitation and Short-Term Outcomes in Moderately Preterm Infants

“…However, published reports do not show any association between magnesium sulfate exposure and level of delivery room resuscitation in the neonates (23,24). The association between SGA status and all levels of resuscitation except CPR in MPT infants in our study is consistent with previously reported data in late preterm infants (4,6,20). Maternal hypertension is an important risk factor for preterm delivery and SGA status, which could lead to emergency Cesarean section and use of antepartum magnesium sulfate (25).…”

“…Aziz et al reported a 2-fold increase in respiratory support (positive pressure ventilation- endotracheal intubation) among moderate-high risk infants born to mothers with hypertension during pregnancy across all GAs (5). Similar associations have been reported between pregnancy induced hypertension and advanced resuscitation (endotracheal intubation and CPR) in infants greater than 34 weeks GA (6), and maternal hypertension and bag and mask ventilation in late preterm infants (4). Maternal hypertension was a significant risk factor among extremely low birth weight infants receiving CPR in the delivery room (8).…”

“…Aziz et al reported that in infants less than 35 weeks GA, multiple births doubled the risk of receiving positive-pressure ventilation and/or endotracheal intubation in the DR; the association was not seen in infants >35 weeks gestation (5). Berazategui et al did not find an association between multiple births and advanced resuscitation in infants delivered at >34 weeks GA (6). The reason for this discrepancy is not clear.…”

“…Compared with term infants, late and moderately preterm (MPT) infants delivered between 32 to 36 weeks of gestation are more likely to receive resuscitation at birth (3). Besides prematurity, there are other antepartum and intrapartum risk factors that can be associated with receipt of DR resuscitation in late and MPT neonates (4–6). Increasing intensity of DR resuscitation has been shown to predict risk of mortality and adverse neurodevelopmental outcome in extremely low birth weight and very low birth weight infants (7–9).…”

Actualización en reanimación cardiopulmonar neonatal

“…En un estudio reciente, Berazategui y colaboradores identificaron factores de riesgo significativamente asociados con la necesidad d e r e a n i m a c i ó n n e o n a t a l a v a n z a d a e n RN ≥ 34 semanas. 11 Los autores desarrollaron un puntaje de riesgo validado que permitía la identificación de RN con mayor riesgo. La utilización de esta herramienta puede permitir convocar la presencia de personal especializado en la sala de partos de manera más adecuada.…”