Frequency of cardiopulmonary resuscitation levels in the neonates delivered in Moheb Yas hospital of Tehran

Kaveh, Mahbod; Kaji-Yazdi , Mohammad; Jafari, Mohsen; Malekiantaghi, Armen; Mojtehedi , Seyed Yousef; Eftekhari, Kambiz

Volume 80, Issue 7 (October 2022) Tehran Univ Med J 2022, 80(7): 568-573 | Back to browse issues page

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Kaveh M, Kaji-Yazdi M, Jafari M, Malekiantaghi A, Mojtehedi S Y, Eftekhari K. Frequency of cardiopulmonary resuscitation levels in the neonates delivered in Moheb Yas hospital of Tehran. Tehran Univ Med J 2022; 80 (7) :568-573
URL: http://tumj.tums.ac.ir/article-1-11965-en.html

Frequency of cardiopulmonary resuscitation levels in the neonates delivered in Moheb Yas hospital of Tehran

Mahbod Kaveh¹

, Mohammad Kaji-Yazdi

, Mohsen Jafari¹

, Armen Malekiantaghi¹

, Seyed Yousef Mojtehedi¹

, Kambiz Eftekhari ^*

1- Department of Pediatrics, Bahrami Children's Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
2- Department of Pediatrics, Bahrami Children's Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. | Pediatric Gastroenterology and Hepatology Research Center, Bahrami Children's Hospital, Tehran University of Medical Sciences, Tehran, Iran. , dr_k_eftekhary@yahoo.com

Abstract: (922 Views)

Background: The neonate's Cardiopulmonary resuscitation (CPR) is the most important and common emergency condition in the delivery room. Approximately 10% of newborns are unable to initiate effective breathing and require assistance. The aim of this study was to evaluate the frequency of CPR levels of the neonates delivered during a year in Moheb Yas Hospital who were resuscitated.
Methods: This was a retrospective cross-sectional descriptive study. The sampling method in this study was census. In this study, all the live neonates born during the year (April, 2010 to April, 2011) in Moheb Yas Hospital who were resuscitated, were enrolled in the study. The information of these infants was recorded in separate checklists. This checklist included the following information: mother's age, gestational age, gender of the baby, method of the delivery, multiple births, complications of the placenta and umbilical cord, amount of amniotic fluid, fetal presentation, meconium excretion, fetal heart rate pattern, Apgar of the baby, resuscitation levels, underlying diseases of the mother, maternal diseases during pregnancy, drug use by the mother and premature rupture of the amniotic sac. Finally, the data were analyzed by SPSS software. P-values less than 0.05 were considered statistically significant.

Results: There were 2,176 live births during the study. Of these infants , a total of 322 neonates (15.27%) underwent CPR. 51.8% were male. The mean gestational age was 36.08 weeks. The first minute Apgar was less than 5, between 5-7, and above 8 respectively in 10.5%, 33.4%, and 56% of neonates. About 42% of neonates needed initial resuscitation (warming, drying, and respiratory stimulation). 48% required respiratory ventilation with bag and mask, 5% endotracheal tube, 2.7% cardiac massage, and 1.3% needed medication. In 96.7% of cases, the CPR team was ready for resuscitation before delivery.
Conclusion: If resuscitation is performed in a timely and appropriate manner, very few of these infants will need advanced resuscitation. On the other hand, the high need for resuscitation by bags and masks can be secondary to the educational nature of this hospital.

Keywords: bag and mask, cardiac massage, cardiopulmonary resuscitation, neonates.

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Type of Study: Original Article | Subject: Endocrinology