Evidence map›Paper›PMID 37761512›Full record

ReviewChildren (Basel, Switzerland)2023

Significance of Neonatal Heart Rate in the Delivery Room-A Review.

Ellisiv Nerdrum Aagaard, Anne Lee Solevåg, Ola Didrik Saugstad

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Threshold to initiate chest compressions for bradycardia at birth: A narrative review.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Pooled it
  2. Review
  3. Decreasing time to achieve reliable EKG signal in fetal care delivery room resuscitations.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  4. Observational
  5. Immediate heart rate changes in late preterm infants receiving resuscitation in the delivery room.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Observational
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Ellisiv Nerdrum AagaardDivision of Pediatric and Adolescent Medicine, Oslo University Hospital Rikshospitalet, 0424 Oslo, Norway.ORCID 0009-0002-4350-6696
Anne Lee SolevågDivision of Pediatric and Adolescent Medicine, Oslo University Hospital Rikshospitalet, 0424 Oslo, Norway.ORCID 0000-0002-8009-7169
Ola Didrik SaugstadDepartment of Pediatric Research, University of Oslo, 0424 Oslo, Norway.ORCID 0000-0002-3166-5254
Oslo University Hospital · NONorthwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeart rate (HR) is considered the main vital sign in newborns during perinatal transition, with a threshold of 100 beats per minute (bpm), below which, intervention is recommended. However, recent changes in delivery room management, including delayed cord clamping, are likely to have influenced normal HR transition.

objectiveTo summarize the updated knowledge about the factors, including measurement methods, that influence HR in newborn infants immediately after birth. Additionally, this paper provides an overview of delivery room HR as a prognostic indicator in different subgroups of newborns.

methodsWe searched PubMed, EMBASE, and Google Scholar with the terms infant, heart rate, delivery room, resuscitation, pulse oximetry, and electrocardiogram.

resultsSeven studies that described HR values in newborn infants immediately after birth were included. Pulse oximetry-derived HR percentiles after immediate cord clamping may not be applicable to the current practice of delayed cord clamping and the increasing use of delivery room electrocardiograms. Mask ventilation may adversely affect HR, particularly in premature and non-asphyxiated infants. Prolonged bradycardia is a negative prognostic factor, especially if combined with hypoxemia in infants <32 weeks of gestation.

conclusionsHR assessment in the delivery room remains important. However, the cardiopulmonary transition is affected by delayed cord clamping, gestational age, and underlying conditions.

Indexed as

electrocardiogramheart rateinfantsneonatal resuscitationnewbornpulse oximetry

Identifiers

PMID37761512
PMCPMC10528538
OpenAlexW4386779858

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.