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Survey of one year neonatal resuscitation in the delivery room of Mahdieh Hospital, Tehran
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| Seyyed Abolfazl Afjeh *, Mohammad Kazem Sabzehei, Fatemeh Esmaili |
| Assistant Professor, Pediatric Infections Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran , : a_afjeh@sbmu.ac.ir |
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Abstract: (9570 Views) |
| Background and Aim: Timely identification and prompt resuscitation of newborns in the delivery room may cause a decline in neonatal asphyxia. The aim of this study was to identify risk factors that result in the resuscitation of newborns at birth in Mahdieh Hospital. Materials and Methods: This cross sectional study was done during one year and risk factors for neonatal resuscitation, level of resuscitation and short outcomes (survival or death), wre extracted from charts and were analyzed. Results: During the study period, 4692 neonates were delivered 97.7% did not require respiratory assistance. 2.3% needed resuscitation with bag and mask in the delivery unit of these, 1.6% responded to bag and mask ventilation while 0.65% needed endotracheal intubation and 0.3% were given chest compressions. Epinephrine/volume expander was administered to 0.2%. In multiple regression analysis, low birth weight, meconium stained liquor and chorioamnionitis were revealed as independent risk factors for advance resuscitation. Neonatal mortality was 10 in 1000 live birth asphyxia with 23.4% was one of major causes of neonatal mortality. Incidence of asphyxia was 0.3%, 24.7% and 50% in neonates without resuscitation, basic resuscitation and advance resuscitation, respectively. Conclusion: It seems that low birth weight, meconium stain amniotic fluid and chorioamnionitis are major risk factors for neonatal resuscitation in delivery room. |
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| Keywords: Infant, Newborn, Delivery Rooms, Risk Factors |
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Full-Text [PDF 153 kb]
(2209 Downloads)
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Type of Study: Original |
Subject:
Medicine
Received: 2017 | Accepted: 2017 | Published: 2017
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