Physical stimulation of newborn infants in the delivery room
Physical stimulation of newborn infants in the delivery room
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DOI：
10.1136/archdischild-2016-312311
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发表时间：
2018-03-01
影响因子：
4.4
通讯作者：
Kamlin, C. Omar Farouk
中科院分区：
文献类型：
--
作者：
Gaertner, Vincent D.;Flemmer, Sophie A.;Kamlin, C. Omar Farouk
目的 新生儿复苏指南建议刺激新生儿以帮助建立规律的呼吸。本指南未规定刺激的方式、应用部位和频率。刺激在改善新生儿过渡结局方面的有效性描述甚少。方法我们对三级围产期中心新生儿复苏的视频记录进行了回顾性审查。预先定义了四种不同类型的刺激（干燥、胸部摩擦、背部摩擦和脚轻弹），并记录了频率和婴儿反应。 结果 总共审查了 120 个视频记录。 75 名 (63%) 婴儿接受过至少一次刺激，70 名 (58%) 婴儿在出生后第一分钟内接受过刺激。很少向婴儿提供刺激
Objective Neonatal resuscitation guidelines recommend that newborn infants are stimulated to assist with the establishment of regular respirations. The mode, site of application and frequency of stimulations are not stipulated in these guidelines. The effectiveness of stimulation in improving neonatal transition outcomes is poorly described.Methods We conducted a retrospective review of video recordings of neonatal resuscitation at a tertiary perinatal centre. Four different types of stimulation (drying, chest rub, back rub and foot flick) were defined a priori and the frequency and infant response were documented.Results A total of 120 video recordings were reviewed. Seventy-five (63%) infants received at least one episode of stimulation and 70 (58%) infants were stimulated within the first minute after birth. Stimulation was less commonly provided to infants