Naslov
Neonatal Resuscitation Practices in Europe: A Survey of the Union of European Neonatal and Perinatal Societies

Autori
Trevisanuto, Daniele ; Gizzi, Camilla ; Gagliardi, Luigi ; Ghirardello, Stefano ; Di Fabio, Sandra ; Beke, Artur ; Buonocore, Giuseppe ; Charitou, Antonia ; Cucerea, Manuela ; Degtyareva, Marina V. ; Filipović-Grčić, Boris ; Georgieva Jekova, Nelly ; Koç, Esin ; Saldanha, Joana ; Sanchez Luna, Manuel ; Stoniene, Dalia ; Varendi, Heili ; Vertecchi, Giulia ; Mosca, Fabio ; Moretti, Corrado ; on behalf of the Union of European Neonatal and Perinatal Societies (UENPS) Study Committee

Izvornik
Neonatology (1661-7800) 119 (2022), 2; 184-192

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
SELF-REPORTED PRACTICES ; CARDIOPULMONARY-RESUSCITATION ; DELIVERY ROOM ; INFANTS ASSOCIATION GUIDELINES ; SUPPORT BIRTH CARE

Sažetak
Background: We aimed to evaluate the policies and practices about neonatal resuscitation in a large sample of European hospitals. Methods: This was a cross-sectional electronic survey. A 91-item questionnaire focusing on the current delivery room practices in neonatal resuscitation domains was individually sent to the directors of 730 European neonatal facilities or (in 5 countries) made available as a Web-based link. A comparison was made between hospitals with <= 2, 000 and those with >2, 000 births/year and between hospitals in 5 European areas (Eastern Europe, Italy, Mediterranean countries, Turkey, and Western Europe). Results: The response rate was 57% and included participants from 33 European countries. In 2018, approximately 1.27 million births occurred at the participating hospitals, with a median of 1, 900 births/center (interquartile range: 1, 400-3, 000). Routine antenatal counseling (p < 0.05), the presence of a resuscitation team at all deliveries (p < 0.01), umbilical cord management (p < 0.01), practices for thermal management (p < 0.05), and heart rate monitoring (p < 0.01) were significantly different between hospitals with <= 2, 000 births/year and those with >2, 000 births/year. Ethical and educational aspects were similar between hospitals with low and high birth volumes. Significant variance in practice, ethical decision-making, and training programs were found between hospitals in 5 different European areas. Conclusions: Several recommendations about available equipment and clinical practices recommended by the international guidelines are already implemented by centers in Europe, but a large variance still persists. Clinicians and stakeholders should consider this information when allocating resources and planning European perinatal programs.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA