Neonatal resuscitation in the delivery room in Villa Clara

Abstract

Introduction: Perinatal loss of fetal well-being is the situation that most frequently creates the need for newborn cardiopulmonary resuscitation at delivery.

Objective: To describe the clinical and epidemiological characteristics of neonates resuscitated in the delivery room.

Methods: A developmental, descriptive, observational, retrospective and descriptive research was carried out at Mariana Grajales Gynecobstetric University Provincial Hospital, of Santa Clara (Villa Clara Province, Cuba), from January 2017 to December 2021. The sample coincided with the universe and was made up of 106 neonates with low Apgar score (lower than seven), evaluated at the first minute after birth, who required some neonatal resuscitation maneuver in the delivery room. Calculation of absolute and relative frequencies was used, as well as contrast of proportions by chi-square for qualitative variables resulting from this test.

Results: Newborns with normal weight (75.5 %), at term (65.1 %) and male (61.3 %) were more frequent. Cesarean section as the final route of delivery (51.9 %) and the presence of meconium amniotic fluid were the variables with the highest percentage from among the selected perinatal variables. 8.5 % of the resuscitated neonates died.

Conclusions: The most frequent clinical and epidemiological variables in the study coincided with the consulted literature. Most of the resuscitated neonates survived.