Observational studyNeonatology2020
Compliance with Guidelines and Efficacy of Heart Rate Monitoring during Newborn Resuscitation: A Prospective Video Study.
Observational study in Neonatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- 2025 Korean Guidelines for Cardiopulmonary Resuscitation: Part 9. Neonatal resuscitation.Clinical and experimental emergency medicine · 2026Guideline
- A framework for generative AI-driven extraction of clinical user needs in pediatric device development.Frontiers in digital health · 2026Article
- Impact of Heart Rate Monitoring Using Dry-Electrode ECG Immediately After Birth on Time to Start Ventilation: A Randomized Trial.Children (Basel, Switzerland) · 2025Article
- Fast and accurate newborn heart rate monitoring at birth: A systematic review.Resuscitation plus · 2024Review
- Prevalence of bradycardia in 4876 newborns in the first minute after birth and association with positive pressure ventilation: a population-based cross-sectional study.Archives of disease in childhood. Fetal and neonatal edition · 2024Article
- Detection of time of birth and cord clamping using thermal video in the delivery room.Frontiers in pediatrics · 2024Article
- Review
- Metric based virtual simulation training for endovascular thrombectomy improves interventional neuroradiologists' simulator performance.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023Article
- Use of Pulse Oximetry during Resuscitation of 230 Newborns-A Video Analysis.Children (Basel, Switzerland) · 2023Article
- Article
- Singapore Neonatal Resuscitation Guidelines 2021.Singapore medical journal · 2021Article
- Heart rate detection properties of dry-electrode ECG compared to conventional 3-lead gel-electrode ECG in newborns.BMC research notes · 2021Article
- Changes in heart rate from 5 s to 5 min after birth in vaginally delivered term newborns with delayed cord clamping.Archives of disease in childhood. Fetal and neonatal edition · 2021Observational
- Neonatal resuscitation practices in Uganda: a video observational study.BMJ paediatrics open · 2021Observational
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveNewborn resuscitation guidelines recommend initial assessment of heart rate (HR) and initiation of positive pressure ventilation (PPV) within 60 s after birth in non-breathing newborns. Pulse oximeter (PO) and electrocardiogram (ECG) are suggested methods for continuous HR monitoring during resuscitation. Our aim was to evaluate compliance with guidelines and the efficacy of PO versus ECG monitoring in real-life newborn resuscitations.
methodsIn this prospective observational study, we video recorded resuscitations of newborns ≥34 weeks of gestation receiving PPV at birth.
results104 resuscitations were analysed. Median (IQR) time from birth to arrival at the resuscitation bay was 48 (22-68) s (n = 62), to initial HR assessment 70 (47-118) s (n = 61), and to initiation of PPV 78 (42-118) s (n = 62). Initial HR assessment (stethoscope or palpation) and initiation of PPV were achieved within 60 s for 35% of the resuscitated newborns. Time to initial HR assessment and initiating PPV was significantly longer following vaginal deliveries than caesarean sections: 84 (70-139) versus 44 (30-66) s (p < 0.001) and 93 (73-139) versus 38 (30-66) s (p < 0.001). Time from birth and sensor application to provision of a reliable HR signal from PO versus ECG was 348 (217-524) (n = 42) versus 174 (105-277) s (n = 30) (p < 0.001) and 199 (77-352) (n = 65) versus 16 (11-22) s (n = 52) (p < 0.001).
conclusionInitial HR assessment and initiation of PPV were achieved within 60 s after birth in only 1/3 of newborn resuscitations. When applied for continuous HR monitoring, ECG was superior to PO in time to achieve reliable HR signals in real-life resuscitations.
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