Delivery room blood pressure percentiles of healthy, singleton, liveborn neonates

Salihoğlu, Özgül; Can, Emrah; Beşkardeş, Ayşegül; Koç, Begüm Şirin; Tan, İlhan; Can, Günay; Hatipoğlu, Sami

doi:10.1111/j.1442-200x.2011.03520.x

Cited by 22 publications

(26 citation statements)

References 22 publications

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“…[25][26][27][28][29] It has been reported that peripheral capillary oxygen saturations take up to 15 minutes to stabilise, 25 heart rate up to one hour 6 and, up to three days for functional closure of the four circulatory ducts. 1,3 However, there is paucity in data for the remaining transition period, which takes approximately 12-72 hours.…”

Section: Discussionmentioning

confidence: 99%

Physiological vital sign ranges in newborns from 34 weeks gestation: A systematic review

Paliwoda

New

Davies

et al. 2018

International Journal of Nursing Studies

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Section: Discussionmentioning

confidence: 99%

Physiological vital sign ranges in newborns from 34 weeks gestation: A systematic review

Paliwoda

New

Davies

et al. 2018

International Journal of Nursing Studies

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“…Although the exact time points of measurements are unknown, in 1938 Woodbury et al [87] inserted an umbilical arterial line in term infants directly after birth and observed a mean systolic artery pressure of 80.1 ± 8.1 mm Hg and diastolic pressure of 46.3 ± 8.2 mm Hg. BP was markedly influenced by crying, administration of fluids [87] and increasing gestational age [88]. Interestingly, small undulations in the BP concomitant with breathing were seen [87].…”

Section: Measurements For Evaluating Transitionmentioning

confidence: 99%

Measuring Physiological Changes during the Transition to Life after Birth

Vonderen¹,

et al. 2014

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The transition to life after birth is characterized by major physiological changes in respiratory and hemodynamic function, which are predominantly initiated by breathing at birth and clamping of the umbilical cord. Lung aeration leads to the establishment of functional residual capacity, allowing pulmonary gas exchange to commence. This triggers a significant decrease in pulmonary vascular resistance, consequently increasing pulmonary blood flow and cardiac venous return. Clamping the umbilical cord also contributes to these hemodynamic changes by altering the cardiac preload and increasing peripheral systemic vascular resistance. The resulting changes in systemic and pulmonary circulation influence blood flow through both the oval foramen and ductus arteriosus. This eventually leads to closure of these structures and the separation of the pulmonary and systemic circulations. Most of our knowledge on human neonatal transition is based on human (fetal) data from the 1970s and extrapolation from animal studies. However, there is renewed interest in performing measurements directly at birth. By using less cumbersome techniques (and probably more accurate), our previous understanding of the physiological transition at birth is challenged, as well as the causes and consequences for when this transition fails to progress. This review will provide an overview of physiological measurements of the respiratory and hemodynamic transition at birth. Also, it will give a perspective on some of the upcoming technological advances in physiological measurements of neonatal transition in infants who are unable to make the transition without support.

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“…Further studies have reported comparable values of BP changes during the immediate transition period in term infants without any need of medical support [11,23,24,25]. BP values have been described to be lower in preterm infants compared to term infants and increase with increased gestational age [24,26]. Neonates after vaginal birth had significantly higher BP values compared to neonates born via caesarean section [23,24,26].…”

Section: Discussionmentioning

confidence: 98%

“…Recently, the reference ranges of BP in preterm and term neonates during the immediate transition have been established [26]. Further studies have reported comparable values of BP changes during the immediate transition period in term infants without any need of medical support [11,23,24,25]. BP values have been described to be lower in preterm infants compared to term infants and increase with increased gestational age [24,26].…”

Section: Discussionmentioning

confidence: 99%

“…Three of them used only electrodes [10,11,12], two used electrodes and pulse oximetry [13,14], seven only pulse oximetry [15,16,17,18,19,20,21] and one did not mention the method of achieving HR [22]. Five studies described blood pressure (BP) during the defined transition period (table 3): one of them measured BP by the Doppler ultrasound method [23]; the other four used the oscillometric technique to achieve the results [11,24,25,26]. Four studies performed functional echocardiography during neonatal transition (table 4) [11,12,20,25]; two in addition to BP monitoring [11,25] and three in addition to HR monitoring [11,12,20].…”

Section: Resultsmentioning

confidence: 99%

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Cardiocirculatory Monitoring during Immediate Fetal-to-Neonatal Transition: A Systematic Qualitative Review of the Literature

Baik

Urlesberger²,

Schwaberger³

et al. 2014

Neonatology

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Background: The fetal-to-neonatal transition is a complex process that includes changes in cardiac and respiratory systems. Objective: The aim of this study is to review the different methods of cardiocirculatory monitoring during the immediate neonatal transition period. Methods: A systematic search of PubMed and Ovid Embase was performed using the following terms: infant, newborn, newborn infant, neonate, neonates, heart, cardiac, blood pressure, haemodynamic, hemodynamics, blood circulation, circulation, echocardiography, ultrasonography, sonography, electrocardiography, ECG, oximetry, pulse, pulse oximetry, monitoring, measurement, acclimatization, adaptation, transition, after birth and delivery room. Additional articles were identified by manual search of cited references. Only human studies describing cardiocirculatory monitoring during the first 15 min after birth were included. Results: Thirteen studies were identified that described heart rate (HR). Additional five studies were identified that measured blood pressure. Four studies performed functional echocardiography during neonatal transition; two in addition to blood pressure monitoring and three in addition to HR monitoring. Conclusion: Routine HR monitoring using electrocardiography or pulse oximetry is used to evaluate adequate hemodynamic transition, and reference ranges have been established. Measuring blood pressure noninvasively though noncontinuously might be of some value in future, considering that the normative data have been established recently. Echocardiographic monitoring during the immediate transition period will improve the knowledge about cardiac function changes, but introduction in clinical routine remains questionable. © 2014 S. Karger AG, Basel

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Delivery room blood pressure percentiles of healthy, singleton, liveborn neonates

Abstract: Data presented in this study include sex- and delivery-mode-specific BP percentile curves using an oscillometric method and serve as a valuable reference for physicians in dealing with the management of singleton, liveborn late preterm and term newborns in the delivery room intensive care.

Cited by 22 publications

References 22 publications

Physiological vital sign ranges in newborns from 34 weeks gestation: A systematic review

Physiological vital sign ranges in newborns from 34 weeks gestation: A systematic review

Measuring Physiological Changes during the Transition to Life after Birth

Cardiocirculatory Monitoring during Immediate Fetal-to-Neonatal Transition: A Systematic Qualitative Review of the Literature

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