PURPOSE Current knowledge about pulmonary/systemic hemodynamics and gas exchange during neonatal resuscitation in a model of transitioning fetal circulation with fetal shunts and fluid-filled alveoli is limited. Using a fetal lamb asphyxia model, we sought to determine whether hemodynamic or gas-exchange parameters predicted successful return of spontaneous circulation (ROSC). METHODS The umb...

AIMS AND OBJECTIVES To determine if a team dedicated to basic neonatal resuscitation in the delivery ward of a teaching hospital would impact the outcome of neonates delivered in Kampala, Uganda. METHODS A five-member team of nurses, trained in basic neonatal resuscitation attended 1046 deliveries over a thirty-one day pilot period. They were available in the delivery ward twenty-four hours e...

OBJECTIVES The aims of this study were to assess parents' views of immediate neonatal care and resuscitation at birth being provided beside the mother, and their experiences of a mobile trolley designed to facilitate this bedside care. DESIGN Qualitative study with semistructured interviews. Results were analysed using thematic analysis. SETTING Large UK maternity hospital. PARTICIPANTS M...

Aim. We assessed neonatal resuscitation practices among paediatricians in Gujarat. Methods. Cross-sectional survey of 23 questions based on guidelines of Neonatal Resuscitation Program (NRP) and Navjaat Shishu Suraksha Karyakram (NSSK) was conducted using web-based tool. Questionnaire was developed and consensually validated by three neonatologists. Results. Total of 142 (21.2%) of 669 paediatr...

Wrammert, J. 2017. Surviving birth. Studies of a simplified neonatal resuscitation protocol in a low-income context using a mixed-methods approach. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1308. 73 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-554-9839-9. United Nations has lately stated ambitious health targets for 2030 in the Sustainable...

BACKGROUND Interventions to improve neonatal resuscitation are considered a priority for reducing neonatal mortality. In addition to training programs for health caregivers, the availability of adequate equipment in all delivery settings is crucial. In this study, we assessed the availability of equipment for neonatal resuscitation in a large sample of delivery rooms in Vietnam, exploring regio...

The Chinese emperor Huang-Ti (2698–2599 BCE) noted that newborn death from ventilatory failure was common in premature infants.1 Galen (129–199 CE) inflated the lungs of deceased animals with a bellows and concluded that the air movement causes the chest to rise.1,2 Between 1850 and 1950, many techniques were used to resuscitate newborns, including swinging the infant upside down,1-3 rhythmic t...

OBJECTIVE To analyze the teaching of neonatal resuscitation offered by Brazilian public hospitals to undergraduate doctors and nurses, pediatric residents and neonatal fellows. METHODS This cross-sectional multicenter study included 36 hospitals in 20 Brazilian State capitals during June/2003. Local coordinators collected data regarding what the institutions offer to undergraduate doctors and...

BACKGROUND The basic knowledge and skill base to resuscitate a newborn infant is taught in the Neonatal Resuscitation Program (NRP). We hypothesize that caregivers will perform below current acceptable standards before the recertification period of two years. METHODS This is a prospective descriptive study evaluating performance of pediatric residents' NRP knowledge and skills over time. NRP ...

OBJECTIVE "Helping Babies Breathe" (HBB) is a simulation-based one-day course developed to help reduce neonatal mortality globally. The study objectives were to (1) determine the effect on practical skills and management strategies among providers using simulations seven months after HBB training, and (2) describe neonatal management in the delivery room during the corresponding time period bef...