Immediate heart rate changes in late preterm infants receiving resuscitation in the delivery room.

• Tác giả: Yafa Davydova, Dina Elachi, Rebecca Miller, Corrina Oxford, Jeffrey Perlman, Charlene Thomas
• Ngôn ngữ: eng
• Ký hiệu phân loại: 597.95952 Reptilia (Reptiles)
• Thông tin xuất bản: United States : Journal of perinatology : official journal of the California Perinatal Association , 2025
• Bộ sưu tập: NCBI
• ID: 55886

Tóm tắt

OBJECTIVES: Assess heart rate (HR) trends in the minutes following delivery in late preterm infants 34-36 6/7 weeks with spontaneous respirations and compare trends in infants with delayed transition requiring interventions and assess the direct potential impact of these interventions on HR changes. DESIGN: Prospective observational single center study in 20 late preterm infants born via cesarean section utilizing the NeoBeat which uses dry electrode technology to obtain blinded HR measures in infants with spontaneous respirations versus infants requiring interventions i.e.: positive pressure ventilation, continuous positive airway pressure or suctioning. RESULTS: Initial HR in spontaneously breathing infants (n = 8) was higher versus those requiring interventions, differences that persisted through five minutes. Iatrogenic bradycardia ranging from 65 to 90 beats/minute was induced by interventions in five(42%) of 12 infants. CONCLUSIONS: Initial HR in spontaneously breathing late preterm infants was significantly higher compared to infants who received interventions. Respiratory interventions induced sudden unanticipated bradycardia in many cases.