Advanced maneuvers in neonatal resuscitation at a hospital in the amazon region: associated factors

Manobras avançadas de reanimação neonatal em um hospital da região amazônica: fatores associados

Authors

  • Giovana Fischer Neto
  • Rebeca Andrade Ferraz
  • Andreza Cristina Souza do Espírito Santo
  • Luciano Sami de Oliveira Abraão
  • Marina Gabay Moreira Pedroso
  • Nathalia Barroso Acatauassú Ferreira

DOI:

https://doi.org/10.34119/bjhrv5n5-017

Keywords:

newborn, perinatal care, resuscitation

Abstract

Objective: To analyze among newborns that required resuscitation the probability of chances between the need for advanced procedures and demographic and obstetric characteristics, use of substances and intercurrences during pregnancy. Methods: Descriptive and multivariate analytical study, carried out in a maternity hospital in the Amazon region. All medical records of newborns in 2018 were researched, and those with missing data and Cook’s distance <0,20 were excluded. The remaining were divided by the intervention performed: positive pressure ventilation or advanced maneuvers (orotracheal intubation, direct laryngoscopy, cardiac massage, drugs or CPAP mask). The variables analyzed were demographic and obstetric characteristics, use of substances and intercurrences during pregnancy. Logistic regression was used to derive unadjusted and adjusted odds ratios and 95% confidence intervals. Results: 1611 infants went through resuscitation. Out of them, 217 were excluded, due to missing data and Cook’s distance <0,20. 41,2% of the the remaining 1394 required advanced maneuvers. Adjusted odds ratio revealed significant association between needing advanced resuscitation and low gestational age (5 times higher chances), 5th minute Apgar <7 (28 times higher chances), tobacco (9 times higher chances), small for gestational age (6 times higher chances), low birth weight (4-5 times higher chances), meconium (double chances), not specified gestational intercurrences (3 times higher chances) and absence of gestational diabetes (6 times higher chances). Conclusions: Prematurity, low birth weight, 5th minute Apgar <7, small for gestational age, meconium and tobacco were associated with higher chances of advanced maneuvers.

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Published

2022-09-05

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Original Papers